NCCI edits for CPT 81513
CMS lists 7 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 268 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.
- 0008U 81513 denies
- 0010U 81513 denies
- 0016U 81513 denies
- 0017U 81513 denies
- 0027U 81513 denies
- 0030U 81513 denies
- 0034U 81513 denies
- 0040U 81513 denies
- 0046U 81513 denies
- 0049U 81513 denies
- 0070U 81513 denies
- 0071U 81513 denies
- 0072U 81513 denies
- 0073U 81513 denies
- 0074U 81513 denies
- 0075U 81513 denies
- 0076U 81513 denies
- 0079U 81513 denies
- 0111U 81513 denies
- 0112U 81513 denies
- 0136U 81513 denies
- 0137U 81513 denies
- 0138U 81513 denies
- 0229U 81513 denies
- 0230U 81513 denies
- 0231U 81513 denies
- 0232U 81513 denies
- 0233U 81513 denies
- 0234U 81513 denies
- 0235U 81513 denies
- 0236U 81513 denies
- 0252U 81513 denies
- 0286U 81513 denies
- 0317U 81513 denies
- 0318U 81513 denies
- 0341U 81513 denies
- 0347U 81513 denies
- 0348U 81513 denies
- 0349U 81513 denies
- 0350U 81513 denies
- 0392U 81513 denies
- 0410U 81513 denies
- 0411U 81513 denies
- 0430U 81513 denies
- 0432U 81513 denies
- 0438U 81513 denies
- 0455U 81513 denies
- 0480U 81513 denies
- 0483U 0483U denies
- 0484U 0484U denies
Showing 50 of 268. 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.