NCCI edits for CPT 82542
CMS lists 2 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 39 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 6 units 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.
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.
- 0002U 82542 denies
- 0007U 82542 denies
- 0011U 82542 denies
- 0051U 82542 denies
- 0054U 82542 denies
- 0063U 82542 denies
- 0080U 82542 denies
- 0082U 82542 denies
- 0093U 82542 denies
- 0110U 82542 denies
- 0116U 82542 denies
- 0170U 82542 denies
- 0247U 82542 denies
- 0289U 82542 denies
- 0290U 82542 denies
- 0296U 82542 denies
- 0322U 82542 denies
- 0328U 82542 denies
- 0360U 82542 denies
- 0412U 82542 denies
- 0459U 82542 denies
- 0479U 82542 denies
- 0503U 82542 denies
- 0517U 82542 denies
- 0518U 82542 denies
- 0519U 82542 denies
- 0520U 82542 denies
- 80305 82542 denies
- 80306 82542 denies
- 80307 82542 denies
- 82233 82542 denies
- 82234 82542 denies
- 84393 82542 denies
- 84394 82542 denies
- G0480 82542 denies
- G0481 82542 denies
- G0482 82542 denies
- G0483 82542 denies
- G0659 82542 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.