NCCI edits for CPT 81000
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 26 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.
- 0007U 81000 denies
- 00100 81000 denies
- 00102 81000 denies
- 00103 81000 denies
- 00104 81000 denies
- 00120 81000 denies
- 00124 81000 denies
- 00126 81000 denies
- 00140 81000 denies
- 00142 81000 denies
- 00144 81000 denies
- 0082U 81000 denies
- 0116U 81000 denies
- 0328U 81000 denies
- 0520U 81000 denies
- 80305 81000 denies
- 80306 81000 denies
- 80307 81000 denies
- 81001 81000 denies
- 81003 81000 denies
- 81020 81000 denies
- G0480 81000 denies
- G0481 81000 denies
- G0482 81000 denies
- G0483 81000 denies
- G0659 81000 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.