NCCI edits for CPT 81536
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 20 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.
- 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
- 80503 80503 denies
- 80504 80504 denies
- 80505 80505 denies
- 80506 80506 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.