NCCI edits for 31243
Code page: https://localishealth.com/cpt/31243
NCCI release: 2026 D
Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0)
31231    31243 is Column One, 31231 is Column Two—31231 denies
36591    31243 is Column One, 36591 is Column Two—36591 denies
36592    31243 is Column One, 36592 is Column Two—36592 denies
69990    31243 is Column One, 69990 is Column Two—69990 denies
92511    31243 is Column One, 92511 is Column Two—92511 denies
96523    31243 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
35236    31243 is Column One, 35236 is Column Two—35236 denies
35241    31243 is Column One, 35241 is Column Two—35241 denies
35246    31243 is Column One, 35246 is Column Two—35246 denies
35251    31243 is Column One, 35251 is Column Two—35251 denies
35256    31243 is Column One, 35256 is Column Two—35256 denies
35261    31243 is Column One, 35261 is Column Two—35261 denies
35266    31243 is Column One, 35266 is Column Two—35266 denies
35271    31243 is Column One, 35271 is Column Two—35271 denies
35276    31243 is Column One, 35276 is Column Two—35276 denies
35281    31243 is Column One, 35281 is Column Two—35281 denies
35286    31243 is Column One, 35286 is Column Two—35286 denies

MUE units per patient per date of service: 1