NCCI edits for CPT 13151
CMS lists 50 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,715 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 13152 13151 denies
- 13153 13153 denies
- 36591 36591 denies
- 36592 36592 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
- 64484 64484 denies
- 64490 64490 denies
- 64491 64491 denies
- 64492 64492 denies
- 64493 64493 denies
- 64494 64494 denies
- 64495 64495 denies
- 64505 64505 denies
- 64510 64510 denies
- 64517 64517 denies
- 64520 64520 denies
- 64530 64530 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 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.
- 0308T 13151 denies
- 0335T 13151 denies
- 0338T 13151 denies
- 0339T 13151 denies
- 0342T 13151 denies
- 0345T 13151 denies
- 0347T 13151 denies
- 0395T 13151 denies
- 0397T 13151 denies
- 0402T 13151 denies
- 0408T 13151 denies
- 0409T 13151 denies
- 0410T 13151 denies
- 0411T 13151 denies
- 0412T 13151 denies
- 0413T 13151 denies
- 0414T 13151 denies
- 0415T 13151 denies
- 0416T 13151 denies
- 0419T 13151 denies
- 0420T 13151 denies
- 0437T 13151 denies
- 0440T 13151 denies
- 0441T 13151 denies
- 0442T 13151 denies
- 0444T 13151 denies
- 0445T 13151 denies
- 0446T 13151 denies
- 0447T 13151 denies
- 0448T 13151 denies
- 0449T 13151 denies
- 0450T 13151 denies
- 0474T 13151 denies
- 0479T 13151 denies
- 0480T 13151 denies
- 0481T 13151 denies
- 0483T 13151 denies
- 0484T 13151 denies
- 0489T 13151 denies
- 0490T 13151 denies
- 0505T 13151 denies
- 0510T 13151 denies
- 0511T 13151 denies
- 0512T 13151 denies
- 0513T 13151 denies
- 0515T 13151 denies
- 0516T 13151 denies
- 0517T 13151 denies
- 0518T 13151 denies
- 0519T 13151 denies
Showing 50 of 5,715. 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.