NCCI edits for CPT 87253
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 67 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.
- 0202U 87253 denies
- 0429U 0429U denies
- 0463U 0463U denies
- 0502U 87253 denies
- 0527U 87253 denies
- 87254 87253 denies
- 87255 87253 denies
- 87260 87260 denies
- 87267 87267 denies
- 87271 87271 denies
- 87274 87274 denies
- 87276 87276 denies
- 87280 87280 denies
- 87290 87290 denies
- 87301 87301 denies
- 87305 87305 denies
- 87332 87332 denies
- 87340 87340 denies
- 87350 87350 denies
- 87380 87380 denies
- 87389 87389 denies
- 87390 87390 denies
- 87391 87391 denies
- 87420 87420 denies
- 87425 87425 denies
- 87467 87467 denies
- 87483 87483 denies
- 87495 87495 denies
- 87496 87496 denies
- 87497 87497 denies
- 87498 87498 denies
- 87500 87253 denies
- 87501 87253 denies
- 87502 87253 denies
- 87516 87516 denies
- 87517 87517 denies
- 87520 87520 denies
- 87521 87521 denies
- 87522 87522 denies
- 87525 87525 denies
- 87526 87526 denies
- 87527 87527 denies
- 87528 87528 denies
- 87529 87529 denies
- 87530 87530 denies
- 87531 87531 denies
- 87532 87532 denies
- 87533 87533 denies
- 87534 87534 denies
- 87535 87535 denies
Showing 50 of 67. 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.