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: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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.
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.