NCCI edits for CPT 13153
CMS lists 4 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,539 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 2 units 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.
- 0308T 13153 denies
- 0335T 13153 denies
- 0338T 13153 denies
- 0339T 13153 denies
- 0342T 13153 denies
- 0345T 13153 denies
- 0347T 13153 denies
- 0395T 13153 denies
- 0397T 13153 denies
- 0402T 13153 denies
- 0408T 13153 denies
- 0409T 13153 denies
- 0410T 13153 denies
- 0411T 13153 denies
- 0412T 13153 denies
- 0413T 13153 denies
- 0414T 13153 denies
- 0415T 13153 denies
- 0416T 13153 denies
- 0419T 13153 denies
- 0420T 13153 denies
- 0437T 13153 denies
- 0440T 13153 denies
- 0441T 13153 denies
- 0442T 13153 denies
- 0444T 13153 denies
- 0445T 13153 denies
- 0446T 13153 denies
- 0447T 13153 denies
- 0448T 13153 denies
- 0449T 13153 denies
- 0450T 13153 denies
- 0474T 13153 denies
- 0479T 13153 denies
- 0480T 13153 denies
- 0481T 13153 denies
- 0483T 13153 denies
- 0484T 13153 denies
- 0489T 13153 denies
- 0490T 13153 denies
- 0505T 13153 denies
- 0510T 13153 denies
- 0511T 13153 denies
- 0512T 13153 denies
- 0513T 13153 denies
- 0515T 13153 denies
- 0516T 13153 denies
- 0517T 13153 denies
- 0518T 13153 denies
- 0519T 13153 denies
Showing 50 of 5,539. 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.