NCCI edits for 85097
Code page: https://localishealth.com/cpt/85097
NCCI release: 2026 D
Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0)
96523    85097 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
88321    88321 is Column One, 85097 is Column Two—85097 denies
88323    88323 is Column One, 85097 is Column Two—85097 denies
88325    88325 is Column One, 85097 is Column Two—85097 denies

MUE units per patient per date of service: 2