NCCI edits for CPT 59525
CMS lists 22 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 21 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.
- 01962 01962 denies
- 01963 01963 denies
- 01969 01969 denies
- 36591 36591 denies
- 36592 36592 denies
- 44820 44820 denies
- 44850 44850 denies
- 49000 49000 denies
- 49010 49010 denies
- 49255 49255 denies
- 58301 58301 denies
- 59430 59430 denies
- 59610 59525 denies
- 59855 59525 denies
- 59856 59525 denies
- 59857 59857 denies
- 62322 62322 denies
- 62323 62323 denies
- 64430 64430 denies
- 64435 64435 denies
- 64483 64483 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.
- 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
- 44602 44602 denies
- 44603 44603 denies
- 44604 44604 denies
- 44605 44605 denies
- 49002 49002 denies
- 59612 59525 denies
- 59614 59525 denies
- 97597 97597 denies
- 97598 97598 denies
- 97602 97602 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.