NCCI edits for CPT 80081
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 18 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.
- 0488U 80081 denies
- 0494U 80081 denies
- 85004 85004 denies
- 85007 85007 denies
- 85008 85008 denies
- 85009 85009 denies
- 85013 85013 denies
- 85014 85014 denies
- 85018 85018 denies
- 85025 85025 denies
- 85027 85027 denies
- 85032 85032 denies
- 85041 85041 denies
- 85048 85048 denies
- 85049 85049 denies
- 86780 86780 denies
- G0306 G0306 denies
- G0307 G0307 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.