NCCI edits for CPT 96020
CMS lists 14 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 152 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.
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.
- 0333T 0333T denies
- 0464T 0464T denies
- 70554 96020 denies
- 92558 92558 denies
- 92587 92587 denies
- 92588 92588 denies
- 92650 92650 denies
- 92651 92651 denies
- 92652 92652 denies
- 92653 92653 denies
- 95812 95812 denies
- 95813 95813 denies
- 95816 95816 denies
- 95819 95819 denies
- 95829 95829 denies
- 95851 95851 denies
- 95852 95852 denies
- 95860 95860 denies
- 95861 95861 denies
- 95863 95863 denies
- 95864 95864 denies
- 95865 95865 denies
- 95866 95866 denies
- 95867 95867 denies
- 95868 95868 denies
- 95869 95869 denies
- 95870 95870 denies
- 95907 95907 denies
- 95908 95908 denies
- 95909 95909 denies
- 95910 95910 denies
- 95911 95911 denies
- 95912 95912 denies
- 95913 95913 denies
- 95925 95925 denies
- 95926 95926 denies
- 95927 95927 denies
- 95928 95928 denies
- 95929 95929 denies
- 95930 95930 denies
- 95940 95940 denies
- 96125 96125 denies
- 96136 96136 denies
- 96138 96138 denies
- 96146 96146 denies
- 97161 97161 denies
- 97162 97162 denies
- 97163 97163 denies
- 97164 97164 denies
- 97165 97165 denies
Showing 50 of 152. 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.