NCCI edits for CPT 0881T
CMS lists 30 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 120 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.
- 36591 36591 denies
- 36592 36592 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64418 64418 denies
- 64505 64505 denies
- 64510 64510 denies
- 69990 69990 denies
- 92012 92012 denies
- 92014 92014 denies
- 96365 96365 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99304 99304 denies
- 99305 99305 denies
- 99306 99306 denies
- 99307 99307 denies
- 99308 99308 denies
- 99309 99309 denies
- 99310 99310 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- 99495 99495 denies
- 99496 99496 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.
- 0419T 0881T denies
- 0420T 0881T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 11311 11311 denies
- 11312 11312 denies
- 11313 11313 denies
- 11440 11440 denies
- 11441 11441 denies
- 11443 11443 denies
- 11641 11641 denies
- 11642 11642 denies
- 11900 11900 denies
- 11901 11901 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
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
- 12055 12055 denies
- 12056 12056 denies
- 12057 12057 denies
- 13131 13131 denies
- 13132 13132 denies
- 13151 13151 denies
- 13152 13152 denies
- 17000 17000 denies
- 17260 17260 denies
- 17283 0881T denies
- 17340 17340 denies
- 36000 36000 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 36430 36430 denies
- 36440 36440 denies
- 36600 36600 denies
- 36640 36640 denies
Showing 50 of 120. 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.