NCCI edits for CPT 56810
CMS lists 127 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 170 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.
- 00940 00940 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 36591 36591 denies
- 36592 36592 denies
- 56405 56810 denies
- 56501 56810 denies
- 56515 56810 denies
- 56605 56605 denies
- 56606 56606 denies
- 56620 56810 denies
- 56625 56810 denies
- 56630 56810 denies
- 56631 56810 denies
- 56632 56810 denies
- 56633 56810 denies
- 56634 56810 denies
- 56637 56810 denies
- 56640 56810 denies
- 56800 56810 denies
- 56820 56820 denies
- 57000 56810 denies
- 57010 56810 denies
- 57023 56810 denies
- 57106 56810 denies
- 57107 56810 denies
- 57109 56810 denies
- 57110 56810 denies
- 57111 56810 denies
- 57120 56810 denies
- 57130 56810 denies
- 57135 56810 denies
- 57200 56810 denies
- 57210 56810 denies
- 57220 56810 denies
- 57230 56810 denies
- 57240 56810 denies
- 57250 56810 denies
- 57260 56810 denies
- 57265 56810 denies
- 57267 56810 denies
- 57268 56810 denies
- 57270 56810 denies
- 57282 56810 denies
- 57283 56810 denies
- 57285 56810 denies
- 57288 56810 denies
- 57289 56810 denies
- 57291 56810 denies
- 57292 56810 denies
Showing 50 of 127. 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.
- 0596T 0596T denies
- 0597T 0597T 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
- 12055 12055 denies
Showing 50 of 170. 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.