NCCI edits for CPT 87206
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 66 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 6 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.
- 0107U 87206 denies
- 0402U 87206 denies
- 0527U 87206 denies
- 80503 80503 denies
- 80504 80504 denies
- 80505 80505 denies
- 80506 80506 denies
- 87177 87177 denies
- 87260 87206 denies
- 87267 87206 denies
- 87269 87206 denies
- 87272 87206 denies
- 87273 87206 denies
- 87274 87206 denies
- 87275 87206 denies
- 87276 87206 denies
- 87278 87206 denies
- 87279 87206 denies
- 87280 87206 denies
- 87281 87206 denies
- 87283 87206 denies
- 87290 87206 denies
- 87299 87206 denies
- 87300 87206 denies
- 87301 87206 denies
- 87320 87206 denies
- 87324 87206 denies
- 87327 87206 denies
- 87328 87206 denies
- 87329 87206 denies
- 87332 87206 denies
- 87335 87206 denies
- 87336 87206 denies
- 87337 87206 denies
- 87338 87206 denies
- 87339 87206 denies
- 87341 87206 denies
- 87350 87206 denies
- 87380 87206 denies
- 87385 87206 denies
- 87389 87206 denies
- 87391 87206 denies
- 87400 87206 denies
- 87420 87206 denies
- 87425 87206 denies
- 87426 87206 denies
- 87427 87206 denies
- 87430 87206 denies
- 87449 87206 denies
- 87451 87206 denies
Showing 50 of 66. 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.