NCCI edits for CPT 52640
CMS lists 110 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 184 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.
- 00910 00910 denies
- 00914 00914 denies
- 00916 00916 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0582T 52640 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0655T 52640 denies
- 0714T 52640 denies
- 0867T 52640 denies
- 36591 36591 denies
- 36592 36592 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 51721 51721 denies
- 52000 52000 denies
- 52281 52281 denies
- 52601 52640 denies
- 52630 52640 denies
- 52648 52640 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 52640 denies
- 53852 52640 denies
- 53854 52640 denies
- 55801 52640 denies
- 55810 52640 denies
- 55812 52640 denies
- 55815 52640 denies
- 55821 52640 denies
- 55831 52640 denies
- 55840 52640 denies
- 55842 52640 denies
- 55845 52640 denies
- 55881 52640 denies
- 55882 52640 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
Showing 50 of 110. 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.
- 0600T 0600T denies
- 0601T 0601T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0941T 52640 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 184. 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.