NCCI edits for CPT 81539
CMS lists 21 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 8 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.
- 0011M 0011M denies
- 0021U 0021U denies
- 0047U 81539 denies
- 0133U 0133U denies
- 0228U 81539 denies
- 0339U 81539 denies
- 0343U 81539 denies
- 0359U 81539 denies
- 0403U 0403U denies
- 0424U 81539 denies
- 0433U 0433U denies
- 0475U 81539 denies
- 0495U 81539 denies
- 0497U 81539 denies
- 0512U 0512U denies
- 81541 81539 denies
- 81551 81551 denies
- 84152 84152 denies
- 84153 84153 denies
- 84154 84154 denies
- 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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.