NCCI edits for CPT 81375
CMS lists 8 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 177 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.
- 0001U 81375 denies
- 0004M 81375 denies
- 0005U 81375 denies
- 0006M 81375 denies
- 0007M 81375 denies
- 0008U 81375 denies
- 0010U 81375 denies
- 0011M 81375 denies
- 0012M 81375 denies
- 0013M 81375 denies
- 0016M 81375 denies
- 0018U 81375 denies
- 0019U 81375 denies
- 0022U 81375 denies
- 0023U 81375 denies
- 0036U 81375 denies
- 0037U 81375 denies
- 0048U 81375 denies
- 0050U 81375 denies
- 0068U 0068U denies
- 0084U 81375 denies
- 0112U 0112U denies
- 0113U 81375 denies
- 0115U 0115U denies
- 0120U 81375 denies
- 0156U 81375 denies
- 0174U 81375 denies
- 0202U 0202U denies
- 0211U 81375 denies
- 0212U 81375 denies
- 0213U 81375 denies
- 0244U 81375 denies
- 0246U 81375 denies
- 0249U 81375 denies
- 0250U 81375 denies
- 0297U 81375 denies
- 0298U 81375 denies
- 0300U 81375 denies
- 0318U 81375 denies
- 0319U 81375 denies
- 0320U 81375 denies
- 0329U 81375 denies
- 0330U 0330U denies
- 0334U 81375 denies
- 0336U 81375 denies
- 0339U 81375 denies
- 0340U 81375 denies
- 0343U 81375 denies
- 0363U 81375 denies
- 0403U 81375 denies
Showing 50 of 177. 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.