NCCI edits for CPT 81195
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 270 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.
- 0005U 0005U denies
- 0006M 0006M denies
- 0007M 0007M denies
- 0009U 0009U denies
- 0011M 0011M denies
- 0012M 0012M denies
- 0013M 0013M denies
- 0016M 81195 denies
- 0016U 0016U denies
- 0017U 0017U denies
- 0018U 81195 denies
- 0019U 81195 denies
- 0022U 81195 denies
- 0023U 81195 denies
- 0026U 81195 denies
- 0027U 0027U denies
- 0030U 0030U denies
- 0034U 0034U denies
- 0036U 81195 denies
- 0037U 81195 denies
- 0040U 0040U denies
- 0045U 81195 denies
- 0046U 0046U denies
- 0047U 81195 denies
- 0048U 81195 denies
- 0049U 0049U denies
- 0050U 81195 denies
- 0069U 0069U denies
- 0070U 0070U denies
- 0089U 0089U denies
- 0090U 81195 denies
- 0101U 81195 denies
- 0102U 81195 denies
- 0103U 81195 denies
- 0111U 0111U denies
- 0113U 0113U denies
- 0120U 81195 denies
- 0129U 81195 denies
- 0155U 0155U denies
- 0169U 0169U denies
- 0171U 81195 denies
- 0174U 81195 denies
- 0177U 0177U denies
- 0211U 81195 denies
- 0212U 81195 denies
- 0213U 81195 denies
- 0228U 0228U denies
- 0229U 0229U denies
- 0235U 0235U denies
- 0238U 0238U denies
Showing 50 of 270. 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.