NCCI edits for 81538
Code page: https://localishealth.com/cpt/81538
NCCI release: 2026 D
Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0)
0406U    81538 is Column One, 0406U is Column Two—0406U denies
96523    81538 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
0288U    0288U is Column One, 81538 is Column Two—81538 denies
0388U    0388U is Column One, 81538 is Column Two—81538 denies
0395U    0395U is Column One, 81538 is Column Two—81538 denies
0478U    81538 is Column One, 0478U is Column Two—0478U denies
80503    81538 is Column One, 80503 is Column Two—80503 denies
80504    81538 is Column One, 80504 is Column Two—80504 denies
80505    81538 is Column One, 80505 is Column Two—80505 denies
80506    81538 is Column One, 80506 is Column Two—80506 denies
83789    81538 is Column One, 83789 is Column Two—83789 denies
88291    81538 is Column One, 88291 is Column Two—88291 denies
G0452    81538 is Column One, G0452 is Column Two—G0452 denies

MUE units per patient per date of service: 1