NCCI edits for CPT 86152
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 21 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 1 unit 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.
- 86255 86255 denies
- 86256 86256 denies
- 86355 86355 denies
- 86356 86356 denies
- 86357 86357 denies
- 86359 86359 denies
- 86360 86360 denies
- 86361 86361 denies
- 86367 86367 denies
- 88184 88184 denies
- 88185 88185 denies
- 88187 88187 denies
- 88188 88188 denies
- 88189 88189 denies
- 88313 88313 denies
- 88342 88342 denies
- 88344 88344 denies
- 88346 88346 denies
- 88358 88358 denies
- 88360 88360 denies
- 88361 88361 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.