NCCI edits for CPT 81535
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 23 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.
- 96523 96523 denies
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.
- 0156U 0156U denies
- 0212U 0212U denies
- 0213U 0213U denies
- 0318U 0318U denies
- 0336U 0336U denies
- 0425U 81535 denies
- 0435U 81535 denies
- 80503 80503 denies
- 80504 80504 denies
- 80505 80505 denies
- 80506 80506 denies
- 81195 81535 denies
- 81228 81228 denies
- 81229 81229 denies
- 88230 88230 denies
- 88233 88233 denies
- 88235 88235 denies
- 88237 88237 denies
- 88239 88239 denies
- 88271 88271 denies
- 88291 88291 denies
- 88313 88313 denies
- G0452 G0452 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.