NCCI edits for CPT 81002
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 25 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 2 units 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.
- 0007U 81002 denies
- 00100 81002 denies
- 00102 81002 denies
- 00103 81002 denies
- 00104 81002 denies
- 00120 81002 denies
- 00124 81002 denies
- 00126 81002 denies
- 00140 81002 denies
- 00142 81002 denies
- 00144 81002 denies
- 0082U 81002 denies
- 0116U 81002 denies
- 0328U 81002 denies
- 0520U 81002 denies
- 80305 81002 denies
- 80306 81002 denies
- 80307 81002 denies
- 81001 81002 denies
- 81003 81002 denies
- G0480 81002 denies
- G0481 81002 denies
- G0482 81002 denies
- G0483 81002 denies
- G0659 81002 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.