NCCI edits for CPT 58110
CMS lists 49 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 31 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.
- 0664T 58110 denies
- 0665T 58110 denies
- 0666T 58110 denies
- 0667T 58110 denies
- 36591 36591 denies
- 36592 36592 denies
- 58150 58110 denies
- 58152 58110 denies
- 58180 58110 denies
- 58200 58110 denies
- 58210 58110 denies
- 58240 58110 denies
- 58260 58110 denies
- 58262 58110 denies
- 58263 58110 denies
- 58267 58110 denies
- 58270 58110 denies
- 58275 58110 denies
- 58280 58110 denies
- 58285 58110 denies
- 58290 58110 denies
- 58291 58110 denies
- 58292 58110 denies
- 58294 58110 denies
- 58541 58110 denies
- 58542 58110 denies
- 58543 58110 denies
- 58544 58110 denies
- 58548 58110 denies
- 58550 58110 denies
- 58552 58110 denies
- 58553 58110 denies
- 58554 58110 denies
- 58570 58110 denies
- 58571 58110 denies
- 58572 58110 denies
- 58573 58110 denies
- 58575 58110 denies
- 58951 58110 denies
- 58952 58110 denies
- 58953 58110 denies
- 58954 58110 denies
- 58956 58110 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 69990 69990 denies
- 96523 96523 denies
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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 10005 10005 denies
- 10007 10007 denies
- 10009 10009 denies
- 10011 10011 denies
- 10021 10021 denies
- 36000 36000 denies
- 36410 36410 denies
- 43752 43752 denies
- 61650 61650 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64450 64450 denies
- 64454 64454 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64493 64493 denies
- 96360 96360 denies
- 96365 96365 denies
- 96372 96372 denies
- 96374 96374 denies
- 96375 96375 denies
- 96376 96376 denies
- 96377 96377 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.