NCCI edits for CPT 80503
CMS lists 157 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 1,224 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.
- 0733T 0733T denies
- 0734T 0734T denies
- 80504 80503 denies
- 80505 80503 denies
- 80506 80506 denies
- 88321 80503 denies
- 88323 80503 denies
- 88325 80503 denies
- 96523 96523 denies
- 99202 99202 denies
- 99203 99203 denies
- 99204 99204 denies
- 99205 99205 denies
- 99231 99231 denies
- 99232 99232 denies
- 99233 99233 denies
- 99234 99234 denies
- 99235 99235 denies
- 99236 99236 denies
- 99238 99238 denies
- 99239 99239 denies
- 99242 99242 denies
- 99243 99243 denies
- 99244 99244 denies
- 99245 99245 denies
- 99252 99252 denies
- 99253 99253 denies
- 99254 99254 denies
- 99255 99255 denies
- 99281 99281 denies
- 99282 99282 denies
- 99283 99283 denies
- 99284 99284 denies
- 99285 99285 denies
- 99288 99288 denies
- 99291 99291 denies
- 99292 99292 denies
- 99304 99304 denies
- 99305 99305 denies
- 99306 99306 denies
- 99307 99307 denies
- 99308 99308 denies
- 99309 99309 denies
- 99310 99310 denies
- 99315 99315 denies
- 99316 99316 denies
- 99341 99341 denies
- 99342 99342 denies
- 99344 99344 denies
- 99345 99345 denies
Showing 50 of 157. 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.
- 0001U 80503 denies
- 0002M 80503 denies
- 0002U 80503 denies
- 0003M 80503 denies
- 0003U 80503 denies
- 0004M 80503 denies
- 0005U 80503 denies
- 0006M 80503 denies
- 0007M 80503 denies
- 0007U 80503 denies
- 0008U 80503 denies
- 0009U 80503 denies
- 0010U 80503 denies
- 0011M 80503 denies
- 0011U 80503 denies
- 0012M 80503 denies
- 0013M 80503 denies
- 0016M 80503 denies
- 0016U 80503 denies
- 0017U 80503 denies
- 0018U 80503 denies
- 0019U 80503 denies
- 0020M 80503 denies
- 0021U 80503 denies
- 0022U 80503 denies
- 0023U 80503 denies
- 0024U 80503 denies
- 0025U 80503 denies
- 0026U 80503 denies
- 0027U 80503 denies
- 0030U 80503 denies
- 0032U 80503 denies
- 0034U 80503 denies
- 0035U 80503 denies
- 0036U 80503 denies
- 0037U 80503 denies
- 0038U 80503 denies
- 0039U 80503 denies
- 0040U 80503 denies
- 0041U 80503 denies
- 0042U 80503 denies
- 0043U 80503 denies
- 0044U 80503 denies
- 0045U 80503 denies
- 0046U 80503 denies
- 0047U 80503 denies
- 0048U 80503 denies
- 0049U 80503 denies
- 0050U 80503 denies
- 0051U 80503 denies
Showing 50 of 1,224. 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.