NCCI edits for CPT 84311
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 491 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 2 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.
- 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.
- 0001U 84311 denies
- 0004M 84311 denies
- 0005U 84311 denies
- 0006M 84311 denies
- 0007M 84311 denies
- 0007U 84311 denies
- 0008U 84311 denies
- 0009U 84311 denies
- 0010U 84311 denies
- 0011M 84311 denies
- 0012M 84311 denies
- 0013M 84311 denies
- 0016M 84311 denies
- 0016U 84311 denies
- 0017U 84311 denies
- 0018U 84311 denies
- 0019U 84311 denies
- 0022U 84311 denies
- 0023U 84311 denies
- 0026U 84311 denies
- 0027U 84311 denies
- 0030U 84311 denies
- 0032U 84311 denies
- 0034U 84311 denies
- 0036U 84311 denies
- 0037U 84311 denies
- 0040U 84311 denies
- 0045U 84311 denies
- 0046U 84311 denies
- 0047U 84311 denies
- 0048U 84311 denies
- 0049U 84311 denies
- 0050U 84311 denies
- 0055U 84311 denies
- 0060U 84311 denies
- 0069U 84311 denies
- 0070U 84311 denies
- 0071U 84311 denies
- 0072U 84311 denies
- 0073U 84311 denies
- 0074U 84311 denies
- 0075U 84311 denies
- 0076U 84311 denies
- 0079U 84311 denies
- 0082U 84311 denies
- 0084U 84311 denies
- 0087U 84311 denies
- 0088U 84311 denies
- 0089U 84311 denies
- 0090U 84311 denies
Showing 50 of 491. 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.