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: 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.
- 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.