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, and it is the Column Two code that is denied while Column One 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.