NCCI edits for CPT 81541
CMS lists 24 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 338 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.
- 0005U 0005U denies
- 0011M 0011M denies
- 0012M 0012M denies
- 0013M 0013M denies
- 0016M 0016M denies
- 0021U 0021U denies
- 0047U 0047U denies
- 0113U 0113U denies
- 0133U 0133U denies
- 0228U 0228U denies
- 0317U 0317U denies
- 0339U 0339U denies
- 0343U 0343U denies
- 0363U 0363U denies
- 0420U 0420U denies
- 0424U 0424U denies
- 0433U 0433U denies
- 0495U 0495U denies
- 0497U 0497U denies
- 0512U 0512U denies
- 0513U 0513U denies
- 81539 81539 denies
- 81551 81551 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.
- 0009U 0009U denies
- 0016U 0016U denies
- 0017U 0017U denies
- 0027U 0027U denies
- 0030U 0030U denies
- 0034U 0034U denies
- 0040U 0040U denies
- 0046U 0046U denies
- 0049U 0049U denies
- 0060U 81541 denies
- 0070U 0070U denies
- 0071U 0071U denies
- 0086U 0086U denies
- 0101U 81541 denies
- 0102U 81541 denies
- 0103U 81541 denies
- 0111U 0111U denies
- 0129U 81541 denies
- 0130U 81541 denies
- 0134U 81541 denies
- 0136U 0136U denies
- 0137U 0137U denies
- 0138U 0138U denies
- 0140U 0140U denies
- 0141U 0141U denies
- 0142U 0142U denies
- 0155U 0155U denies
- 0156U 0156U denies
- 0157U 0157U denies
- 0158U 0158U denies
- 0159U 0159U denies
- 0160U 0160U denies
- 0161U 0161U denies
- 0162U 81541 denies
- 0169U 0169U denies
- 0171U 81541 denies
- 0177U 0177U denies
- 0212U 0212U denies
- 0213U 0213U denies
- 0229U 0229U denies
- 0230U 0230U denies
- 0231U 0231U denies
- 0232U 81541 denies
- 0233U 0233U denies
- 0234U 0234U denies
- 0235U 0235U denies
- 0236U 0236U denies
- 0237U 81541 denies
- 0238U 81541 denies
- 0239U 81541 denies
Showing 50 of 338. 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.