NCCI edits for CPT 81349
CMS lists 10 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 168 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.
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.
- 0010U 81349 denies
- 0016M 81349 denies
- 0169U 0169U denies
- 0171U 0171U denies
- 0177U 0177U denies
- 0202U 0202U denies
- 0235U 0235U denies
- 0330U 0330U denies
- 0331U 0331U denies
- 0340U 0340U denies
- 0405U 0405U denies
- 0413U 81349 denies
- 0426U 0426U denies
- 0429U 0429U denies
- 0449U 81349 denies
- 0454U 81349 denies
- 0469U 0469U denies
- 0474U 81349 denies
- 0489U 0489U denies
- 81168 81168 denies
- 81195 81349 denies
- 81410 81410 denies
- 81411 81411 denies
- 81412 81412 denies
- 81415 81415 denies
- 81416 81416 denies
- 81417 81417 denies
- 81420 81420 denies
- 81425 81425 denies
- 81426 81426 denies
- 81427 81427 denies
- 81430 81430 denies
- 81431 81431 denies
- 81432 81432 denies
- 81434 81434 denies
- 81435 81435 denies
- 81437 81437 denies
- 81440 81440 denies
- 81442 81442 denies
- 81443 81443 denies
- 81445 81445 denies
- 81449 81449 denies
- 81450 81450 denies
- 81451 81451 denies
- 81455 81455 denies
- 81456 81456 denies
- 81460 81460 denies
- 81465 81465 denies
- 81470 81470 denies
- 81471 81471 denies
Showing 50 of 168. 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.