NCCI edits for CPT 52601
CMS lists 117 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 189 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
- 00914 00914 denies
- 00916 00916 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0582T 0582T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0655T 0655T denies
- 0714T 0714T denies
- 0867T 0867T denies
- 36591 36591 denies
- 36592 36592 denies
- 51700 51700 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 51721 51721 denies
- 52000 52000 denies
- 52281 52281 denies
- 52310 52310 denies
- 52315 52315 denies
- 52400 52400 denies
- 52630 52630 denies
- 52640 52640 denies
- 52648 52648 denies
- 52649 52601 denies
- 53000 53000 denies
- 53010 53010 denies
- 53020 53020 denies
- 53025 53025 denies
- 53600 53600 denies
- 53601 53601 denies
- 53605 53605 denies
- 53620 53620 denies
- 53621 53621 denies
- 53850 53850 denies
- 53852 53852 denies
- 53854 53854 denies
- 53866 53866 denies
- 55706 55706 denies
- 55801 52601 denies
- 55810 52601 denies
- 55812 52601 denies
- 55815 52601 denies
- 55821 52601 denies
- 55831 52601 denies
- 55840 52601 denies
- 55842 52601 denies
- 55845 52601 denies
Showing 50 of 117. 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.
- 0403U 0403U denies
- 0600T 0600T denies
- 0601T 0601T denies
- 0708T 0708T denies
- 0709T 0709T 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
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
Showing 50 of 189. 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.