NCCI edits for CPT 55881
CMS lists 99 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 124 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, and it is the Column Two code that is denied while Column One is paid.
- 00910 00910 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0714T 55881 denies
- 0738T 55881 denies
- 0739T 0739T denies
- 36591 36591 denies
- 36592 36592 denies
- 51700 51700 denies
- 51701 51701 denies
- 51702 51702 denies
- 51721 51721 denies
- 52630 52630 denies
- 52640 52640 denies
- 52648 55881 denies
- 53850 53850 denies
- 53852 53852 denies
- 53854 53854 denies
- 53855 53855 denies
- 55705 55705 denies
- 55706 55706 denies
- 55801 55881 denies
- 55810 55881 denies
- 55812 55881 denies
- 55815 55881 denies
- 55821 55881 denies
- 55831 55881 denies
- 55840 55881 denies
- 55842 55881 denies
- 55845 55881 denies
- 55873 55881 denies
- 55880 55881 denies
- 55882 55882 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 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
- 64425 64425 denies
Showing 50 of 99. The plain-text version contains every pair.
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.
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 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
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
- 12055 12055 denies
- 12056 12056 denies
- 12057 12057 denies
- 13100 13100 denies
- 13101 13101 denies
- 13120 13120 denies
- 13121 13121 denies
- 13131 13131 denies
- 13132 13132 denies
- 13151 13151 denies
- 13152 13152 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
Showing 50 of 124. 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.