NCCI edits for 54500 Code page: https://localishealth.com/cpt/54500 NCCI release: 2026 D Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0) 0213T 54500 is Column One, 0213T is Column Two—0213T denies 0216T 54500 is Column One, 0216T is Column Two—0216T denies 36591 54500 is Column One, 36591 is Column Two—36591 denies 36592 54500 is Column One, 36592 is Column Two—36592 denies 54680 54680 is Column One, 54500 is Column Two—54500 denies 54861 54861 is Column One, 54500 is Column Two—54500 denies 54901 54901 is Column One, 54500 is Column Two—54500 denies 55041 55041 is Column One, 54500 is Column Two—54500 denies 55100 55100 is Column One, 54500 is Column Two—54500 denies 55110 55110 is Column One, 54500 is Column Two—54500 denies 55120 55120 is Column One, 54500 is Column Two—54500 denies 55150 55150 is Column One, 54500 is Column Two—54500 denies 55250 55250 is Column One, 54500 is Column Two—54500 denies 62320 54500 is Column One, 62320 is Column Two—62320 denies 62321 54500 is Column One, 62321 is Column Two—62321 denies 62322 54500 is Column One, 62322 is Column Two—62322 denies 62323 54500 is Column One, 62323 is Column Two—62323 denies 62324 54500 is Column One, 62324 is Column Two—62324 denies 62325 54500 is Column One, 62325 is Column Two—62325 denies 62326 54500 is Column One, 62326 is Column Two—62326 denies 62327 54500 is Column One, 62327 is Column Two—62327 denies 64400 54500 is Column One, 64400 is Column Two—64400 denies 64405 54500 is Column One, 64405 is Column Two—64405 denies 64408 54500 is Column One, 64408 is Column Two—64408 denies 64415 54500 is Column One, 64415 is Column Two—64415 denies 64416 54500 is Column One, 64416 is Column Two—64416 denies 64417 54500 is Column One, 64417 is Column Two—64417 denies 64418 54500 is Column One, 64418 is Column Two—64418 denies 64420 54500 is Column One, 64420 is Column Two—64420 denies 64421 54500 is Column One, 64421 is Column Two—64421 denies 64425 54500 is Column One, 64425 is Column Two—64425 denies 64430 54500 is Column One, 64430 is Column Two—64430 denies 64435 54500 is Column One, 64435 is Column Two—64435 denies 64445 54500 is Column One, 64445 is Column Two—64445 denies 64446 54500 is Column One, 64446 is Column Two—64446 denies 64447 54500 is Column One, 64447 is Column Two—64447 denies 64448 54500 is Column One, 64448 is Column Two—64448 denies 64449 54500 is Column One, 64449 is Column Two—64449 denies 64450 54500 is Column One, 64450 is Column Two—64450 denies 64451 54500 is Column One, 64451 is Column Two—64451 denies 64454 54500 is Column One, 64454 is Column Two—64454 denies 64461 54500 is Column One, 64461 is Column Two—64461 denies 64462 54500 is Column One, 64462 is Column Two—64462 denies 64463 54500 is Column One, 64463 is Column Two—64463 denies 64479 54500 is Column One, 64479 is Column Two—64479 denies 64480 54500 is Column One, 64480 is Column Two—64480 denies 64483 54500 is Column One, 64483 is Column Two—64483 denies 64484 54500 is Column One, 64484 is Column Two—64484 denies 64486 54500 is Column One, 64486 is Column Two—64486 denies 64487 54500 is Column One, 64487 is Column Two—64487 denies 64488 54500 is Column One, 64488 is Column Two—64488 denies 64489 54500 is Column One, 64489 is Column Two—64489 denies 64490 54500 is Column One, 64490 is Column Two—64490 denies 64491 54500 is Column One, 64491 is Column Two—64491 denies 64492 54500 is Column One, 64492 is Column Two—64492 denies 64493 54500 is Column One, 64493 is Column Two—64493 denies 64494 54500 is Column One, 64494 is Column Two—64494 denies 64495 54500 is Column One, 64495 is Column Two—64495 denies 64505 54500 is Column One, 64505 is Column Two—64505 denies 64510 54500 is Column One, 64510 is Column Two—64510 denies 64517 54500 is Column One, 64517 is Column Two—64517 denies 64520 54500 is Column One, 64520 is Column Two—64520 denies 64530 54500 is Column One, 64530 is Column Two—64530 denies 69990 54500 is Column One, 69990 is Column Two—69990 denies 96523 54500 is Column One, 96523 is Column Two—96523 denies 99155 54500 is Column One, 99155 is Column Two—99155 denies 99156 54500 is Column One, 99156 is Column Two—99156 denies 99157 54500 is Column One, 99157 is Column Two—99157 denies 99446 54500 is Column One, 99446 is Column Two—99446 denies 99447 54500 is Column One, 99447 is Column Two—99447 denies 99448 54500 is Column One, 99448 is Column Two—99448 denies 99449 54500 is Column One, 99449 is Column Two—99449 denies 99451 54500 is Column One, 99451 is Column Two—99451 denies 99452 54500 is Column One, 99452 is Column Two—99452 denies BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1) 0596T 54500 is Column One, 0596T is Column Two—0596T denies 0597T 54500 is Column One, 0597T is Column Two—0597T denies 0708T 54500 is Column One, 0708T is Column Two—0708T denies 0709T 54500 is Column One, 0709T is Column Two—0709T denies 0903T 54500 is Column One, 0903T is Column Two—0903T denies 0904T 54500 is Column One, 0904T is Column Two—0904T denies 0905T 54500 is Column One, 0905T is Column Two—0905T denies 10005 54500 is Column One, 10005 is Column Two—10005 denies 10007 54500 is Column One, 10007 is Column Two—10007 denies 10009 54500 is Column One, 10009 is Column Two—10009 denies 10011 54500 is Column One, 10011 is Column Two—10011 denies 10021 54500 is Column One, 10021 is Column Two—10021 denies 12001 54500 is Column One, 12001 is Column Two—12001 denies 12002 54500 is Column One, 12002 is Column Two—12002 denies 12004 54500 is Column One, 12004 is Column Two—12004 denies 12005 54500 is Column One, 12005 is Column Two—12005 denies 12006 54500 is Column One, 12006 is Column Two—12006 denies 12007 54500 is Column One, 12007 is Column Two—12007 denies 12011 54500 is Column One, 12011 is Column Two—12011 denies 12013 54500 is Column One, 12013 is Column Two—12013 denies 12014 54500 is Column One, 12014 is Column Two—12014 denies 12015 54500 is Column One, 12015 is Column Two—12015 denies 12016 54500 is Column One, 12016 is Column Two—12016 denies 12017 54500 is Column One, 12017 is Column Two—12017 denies 12018 54500 is Column One, 12018 is Column Two—12018 denies 12020 54500 is Column One, 12020 is Column Two—12020 denies 12021 54500 is Column One, 12021 is Column Two—12021 denies 12031 54500 is Column One, 12031 is Column Two—12031 denies 12032 54500 is Column One, 12032 is Column Two—12032 denies 12034 54500 is Column One, 12034 is Column Two—12034 denies 12035 54500 is Column One, 12035 is Column Two—12035 denies 12036 54500 is Column One, 12036 is Column Two—12036 denies 12037 54500 is Column One, 12037 is Column Two—12037 denies 12041 54500 is Column One, 12041 is Column Two—12041 denies 12042 54500 is Column One, 12042 is Column Two—12042 denies 12044 54500 is Column One, 12044 is Column Two—12044 denies 12045 54500 is Column One, 12045 is Column Two—12045 denies 12046 54500 is Column One, 12046 is Column Two—12046 denies 12047 54500 is Column One, 12047 is Column Two—12047 denies 12051 54500 is Column One, 12051 is Column Two—12051 denies 12052 54500 is Column One, 12052 is Column Two—12052 denies 12053 54500 is Column One, 12053 is Column Two—12053 denies 12054 54500 is Column One, 12054 is Column Two—12054 denies 12055 54500 is Column One, 12055 is Column Two—12055 denies 12056 54500 is Column One, 12056 is Column Two—12056 denies 12057 54500 is Column One, 12057 is Column Two—12057 denies 13100 54500 is Column One, 13100 is Column Two—13100 denies 13101 54500 is Column One, 13101 is Column Two—13101 denies 13102 54500 is Column One, 13102 is Column Two—13102 denies 13120 54500 is Column One, 13120 is Column Two—13120 denies 13121 54500 is Column One, 13121 is Column Two—13121 denies 13122 54500 is Column One, 13122 is Column Two—13122 denies 13131 54500 is Column One, 13131 is Column Two—13131 denies 13132 54500 is Column One, 13132 is Column Two—13132 denies 13133 54500 is Column One, 13133 is Column Two—13133 denies 13151 54500 is Column One, 13151 is Column Two—13151 denies 13152 54500 is Column One, 13152 is Column Two—13152 denies 13153 54500 is Column One, 13153 is Column Two—13153 denies 36000 54500 is Column One, 36000 is Column Two—36000 denies 36400 54500 is Column One, 36400 is Column Two—36400 denies 36405 54500 is Column One, 36405 is Column Two—36405 denies 36406 54500 is Column One, 36406 is Column Two—36406 denies 36410 54500 is Column One, 36410 is Column Two—36410 denies 36420 54500 is Column One, 36420 is Column Two—36420 denies 36425 54500 is Column One, 36425 is Column Two—36425 denies 36430 54500 is Column One, 36430 is Column Two—36430 denies 36440 54500 is Column One, 36440 is Column Two—36440 denies 36600 54500 is Column One, 36600 is Column Two—36600 denies 36640 54500 is Column One, 36640 is Column Two—36640 denies 43752 54500 is Column One, 43752 is Column Two—43752 denies 51701 54500 is Column One, 51701 is Column Two—51701 denies 51702 54500 is Column One, 51702 is Column Two—51702 denies 51703 54500 is Column One, 51703 is Column Two—51703 denies 54512 54512 is Column One, 54500 is Column Two—54500 denies 54520 54520 is Column One, 54500 is Column Two—54500 denies 54522 54522 is Column One, 54500 is Column Two—54500 denies 54535 54535 is Column One, 54500 is Column Two—54500 denies 54550 54550 is Column One, 54500 is Column Two—54500 denies 54560 54560 is Column One, 54500 is Column Two—54500 denies 54600 54600 is Column One, 54500 is Column Two—54500 denies 54640 54640 is Column One, 54500 is Column Two—54500 denies 54650 54650 is Column One, 54500 is Column Two—54500 denies 54660 54500 is Column One, 54660 is Column Two—54660 denies 54670 54670 is Column One, 54500 is Column Two—54500 denies 54700 54700 is Column One, 54500 is Column Two—54500 denies 54800 54800 is Column One, 54500 is Column Two—54500 denies 54830 54830 is Column One, 54500 is Column Two—54500 denies 54840 54840 is Column One, 54500 is Column Two—54500 denies 54860 54860 is Column One, 54500 is Column Two—54500 denies 54865 54865 is Column One, 54500 is Column Two—54500 denies 54900 54900 is Column One, 54500 is Column Two—54500 denies 55000 55000 is Column One, 54500 is Column Two—54500 denies 55040 55040 is Column One, 54500 is Column Two—54500 denies 64466 54500 is Column One, 64466 is Column Two—64466 denies 64467 54500 is Column One, 64467 is Column Two—64467 denies 64468 54500 is Column One, 64468 is Column Two—64468 denies 64469 54500 is Column One, 64469 is Column Two—64469 denies 64473 54500 is Column One, 64473 is Column Two—64473 denies 64474 54500 is Column One, 64474 is Column Two—64474 denies 92012 54500 is Column One, 92012 is Column Two—92012 denies 92014 54500 is Column One, 92014 is Column Two—92014 denies 93000 54500 is Column One, 93000 is Column Two—93000 denies 93005 54500 is Column One, 93005 is Column Two—93005 denies 93010 54500 is Column One, 93010 is Column Two—93010 denies 93040 54500 is Column One, 93040 is Column Two—93040 denies 93041 54500 is Column One, 93041 is Column Two—93041 denies 93042 54500 is Column One, 93042 is Column Two—93042 denies 93318 54500 is Column One, 93318 is Column Two—93318 denies 93355 54500 is Column One, 93355 is Column Two—93355 denies 94002 54500 is Column One, 94002 is Column Two—94002 denies 94200 54500 is Column One, 94200 is Column Two—94200 denies 94680 54500 is Column One, 94680 is Column Two—94680 denies 94681 54500 is Column One, 94681 is Column Two—94681 denies 94690 54500 is Column One, 94690 is Column Two—94690 denies 95812 54500 is Column One, 95812 is Column Two—95812 denies 95813 54500 is Column One, 95813 is Column Two—95813 denies 95816 54500 is Column One, 95816 is Column Two—95816 denies 95819 54500 is Column One, 95819 is Column Two—95819 denies 95822 54500 is Column One, 95822 is Column Two—95822 denies 95829 54500 is Column One, 95829 is Column Two—95829 denies 95955 54500 is Column One, 95955 is Column Two—95955 denies 96360 54500 is Column One, 96360 is Column Two—96360 denies 96361 54500 is Column One, 96361 is Column Two—96361 denies 96365 54500 is Column One, 96365 is Column Two—96365 denies 96366 54500 is Column One, 96366 is Column Two—96366 denies 96367 54500 is Column One, 96367 is Column Two—96367 denies 96368 54500 is Column One, 96368 is Column Two—96368 denies 96372 54500 is Column One, 96372 is Column Two—96372 denies 96374 54500 is Column One, 96374 is Column Two—96374 denies 96375 54500 is Column One, 96375 is Column Two—96375 denies 96376 54500 is Column One, 96376 is Column Two—96376 denies 96377 54500 is Column One, 96377 is Column Two—96377 denies 99211 54500 is Column One, 99211 is Column Two—99211 denies 99212 54500 is Column One, 99212 is Column Two—99212 denies 99213 54500 is Column One, 99213 is Column Two—99213 denies 99214 54500 is Column One, 99214 is Column Two—99214 denies 99215 54500 is Column One, 99215 is Column Two—99215 denies 99221 54500 is Column One, 99221 is Column Two—99221 denies 99222 54500 is Column One, 99222 is Column Two—99222 denies 99223 54500 is Column One, 99223 is Column Two—99223 denies 99231 54500 is Column One, 99231 is Column Two—99231 denies 99232 54500 is Column One, 99232 is Column Two—99232 denies 99233 54500 is Column One, 99233 is Column Two—99233 denies 99234 54500 is Column One, 99234 is Column Two—99234 denies 99235 54500 is Column One, 99235 is Column Two—99235 denies 99236 54500 is Column One, 99236 is Column Two—99236 denies 99238 54500 is Column One, 99238 is Column Two—99238 denies 99239 54500 is Column One, 99239 is Column Two—99239 denies 99242 54500 is Column One, 99242 is Column Two—99242 denies 99243 54500 is Column One, 99243 is Column Two—99243 denies 99244 54500 is Column One, 99244 is Column Two—99244 denies 99245 54500 is Column One, 99245 is Column Two—99245 denies 99252 54500 is Column One, 99252 is Column Two—99252 denies 99253 54500 is Column One, 99253 is Column Two—99253 denies 99254 54500 is Column One, 99254 is Column Two—99254 denies 99255 54500 is Column One, 99255 is Column Two—99255 denies 99291 54500 is Column One, 99291 is Column Two—99291 denies 99292 54500 is Column One, 99292 is Column Two—99292 denies 99304 54500 is Column One, 99304 is Column Two—99304 denies 99305 54500 is Column One, 99305 is Column Two—99305 denies 99306 54500 is Column One, 99306 is Column Two—99306 denies 99307 54500 is Column One, 99307 is Column Two—99307 denies 99308 54500 is Column One, 99308 is Column Two—99308 denies 99309 54500 is Column One, 99309 is Column Two—99309 denies 99310 54500 is Column One, 99310 is Column Two—99310 denies 99315 54500 is Column One, 99315 is Column Two—99315 denies 99316 54500 is Column One, 99316 is Column Two—99316 denies 99347 54500 is Column One, 99347 is Column Two—99347 denies 99348 54500 is Column One, 99348 is Column Two—99348 denies 99349 54500 is Column One, 99349 is Column Two—99349 denies 99350 54500 is Column One, 99350 is Column Two—99350 denies 99374 54500 is Column One, 99374 is Column Two—99374 denies 99375 54500 is Column One, 99375 is Column Two—99375 denies 99377 54500 is Column One, 99377 is Column Two—99377 denies 99378 54500 is Column One, 99378 is Column Two—99378 denies 99495 54500 is Column One, 99495 is Column Two—99495 denies 99496 54500 is Column One, 99496 is Column Two—99496 denies G0463 54500 is Column One, G0463 is Column Two—G0463 denies G0471 54500 is Column One, G0471 is Column Two—G0471 denies MUE units per patient per date of service: 1