NCCI edits for CPT 81560
CMS lists 18 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 15 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.
- 0493U 81560 denies
- 85008 85008 denies
- 85032 85032 denies
- 86353 86353 denies
- 86356 86356 denies
- 86821 86821 denies
- 86930 86930 denies
- 88184 88184 denies
- 88185 88185 denies
- 88187 88187 denies
- 88188 88188 denies
- 88189 88189 denies
- 88230 88230 denies
- 88240 88240 denies
- 88241 88241 denies
- 89258 89258 denies
- 89259 89259 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.