NCCI edits for CPT 52281
CMS lists 156 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 187 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 00910 00910 denies
- 00916 00916 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 36591 36591 denies
- 36592 36592 denies
- 51700 51700 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 51721 52281 denies
- 52000 52000 denies
- 52001 52281 denies
- 52005 52005 denies
- 52007 52281 denies
- 52010 52281 denies
- 52204 52204 denies
- 52214 52281 denies
- 52224 52281 denies
- 52234 52281 denies
- 52235 52281 denies
- 52240 52281 denies
- 52250 52281 denies
- 52260 52281 denies
- 52265 52281 denies
- 52270 52281 denies
- 52275 52281 denies
- 52276 52281 denies
- 52277 52281 denies
- 52282 52281 denies
- 52283 52283 denies
- 52284 52281 denies
- 52285 52281 denies
- 52287 52287 denies
- 52290 52281 denies
- 52300 52281 denies
- 52301 52281 denies
- 52305 52281 denies
- 52310 52310 denies
- 52315 52281 denies
- 52317 52281 denies
- 52318 52281 denies
- 52320 52281 denies
- 52325 52281 denies
- 52327 52281 denies
- 52330 52281 denies
- 52332 52281 denies
- 52334 52281 denies
Showing 50 of 156. 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.
- 0582T 52281 denies
- 0600T 52281 denies
- 0601T 52281 denies
- 0655T 52281 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0714T 52281 denies
- 0867T 52281 denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 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
Showing 50 of 187. 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.