NCCI edits for CPT 80053
CMS lists 8 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 16 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.
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.
- 80047 80047 denies
- 80051 80051 denies
- 82040 82040 denies
- 82247 82247 denies
- 82310 82310 denies
- 82374 82374 denies
- 82435 82435 denies
- 82565 82565 denies
- 82947 82947 denies
- 84075 84075 denies
- 84132 84132 denies
- 84155 84155 denies
- 84295 84295 denies
- 84450 84450 denies
- 84460 84460 denies
- 84520 84520 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.