NCCI edits for CPT 83516
CMS lists 2 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 30 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.
- 0007U 83516 denies
- 0021U 83516 denies
- 0058U 83516 denies
- 0059U 83516 denies
- 0062U 83516 denies
- 0064U 83516 denies
- 0065U 83516 denies
- 0082U 83516 denies
- 0091U 83516 denies
- 0116U 83516 denies
- 0312U 83516 denies
- 0328U 83516 denies
- 0406U 83516 denies
- 0431U 83516 denies
- 0433U 83516 denies
- 0446U 83516 denies
- 0447U 83516 denies
- 0495U 83516 denies
- 0520U 83516 denies
- 80305 83516 denies
- 80306 83516 denies
- 80307 83516 denies
- 83519 83516 denies
- 84145 83516 denies
- 86051 83516 denies
- G0480 83516 denies
- G0481 83516 denies
- G0482 83516 denies
- G0483 83516 denies
- G0659 83516 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.