NCCI edits for CPT 87081
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 19 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.
- 0141U 87081 denies
- 0142U 87081 denies
- 0321U 87081 denies
- 0480U 87081 denies
- 0483U 87081 denies
- 0484U 87081 denies
- 0504U 87081 denies
- 87040 87040 denies
- 87045 87045 denies
- 87046 87081 denies
- 87071 87081 denies
- 87073 87081 denies
- 87075 87075 denies
- 87084 87084 denies
- 87086 87081 denies
- 87088 87088 denies
- 87513 87081 denies
- 87564 87081 denies
- 88387 88387 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.