NCCI edits for CPT 49320
CMS lists 197 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 551 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q4 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
Medically Unlikely Edit (MUE) Copy link
The published MUE is 1 unit per patient per date of service.
Not separately payable together Copy link
Modifier indicator 0: the edit cannot be bypassed with an NCCI-associated modifier. Each row names the code that denies. CMS writes every edit as an ordered pair: the Column Two code is denied and the Column One code is paid.
- 0213T 0213T denies
- 0216T 0216T denies
- 0585T 49320 denies
- 0666T 49320 denies
- 0674T 49320 denies
- 0675T 49320 denies
- 0676T 49320 denies
- 0677T 49320 denies
- 0678T 49320 denies
- 0679T 49320 denies
- 36591 36591 denies
- 36592 36592 denies
- 38120 49320 denies
- 38570 49320 denies
- 38571 49320 denies
- 38572 49320 denies
- 38573 49320 denies
- 43279 49320 denies
- 43280 49320 denies
- 43281 49320 denies
- 43282 49320 denies
- 43284 49320 denies
- 43285 49320 denies
- 43286 49320 denies
- 43287 49320 denies
- 43288 49320 denies
- 43644 49320 denies
- 43645 49320 denies
- 43647 49320 denies
- 43648 49320 denies
- 43651 49320 denies
- 43652 49320 denies
- 43653 49320 denies
- 43770 49320 denies
- 43771 49320 denies
- 43772 49320 denies
- 43773 49320 denies
- 43774 49320 denies
- 43775 49320 denies
- 44005 44005 denies
- 44180 49320 denies
- 44186 49320 denies
- 44187 49320 denies
- 44188 49320 denies
- 44202 49320 denies
- 44204 49320 denies
- 44205 49320 denies
- 44206 49320 denies
- 44207 49320 denies
- 44208 49320 denies
Showing 50 of 197. The plain-text version contains every pair.
Modifier may be allowed Copy link
Modifier indicator 1: an NCCI-associated modifier may be used when the circumstances and documentation support it. Each row names the Column Two code, which is the one denied absent an allowed modifier.
- 0586T 49320 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0600T 49320 denies
- 0601T 49320 denies
- 0664T 49320 denies
- 0665T 49320 denies
- 0667T 49320 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0894T 49320 denies
- 0895T 49320 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
- 12055 12055 denies
- 12056 12056 denies
- 12057 12057 denies
- 13100 13100 denies
Showing 50 of 551. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.