NCCI edits for CPT 81003
CMS lists 4 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 81003 denies
- 00100 81003 denies
- 00102 81003 denies
- 00103 81003 denies
- 00104 81003 denies
- 00120 81003 denies
- 00124 81003 denies
- 00126 81003 denies
- 00140 81003 denies
- 00142 81003 denies
- 00144 81003 denies
- 0082U 81003 denies
- 0116U 81003 denies
- 0328U 81003 denies
- 0520U 81003 denies
- 80305 81003 denies
- 80306 81003 denies
- 80307 81003 denies
- 81000 81000 denies
- 81001 81003 denies
- 81002 81002 denies
- G0480 81003 denies
- G0481 81003 denies
- G0482 81003 denies
- G0483 81003 denies
- G0659 81003 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.