NCCI edits for 87428
Code page: https://localishealth.com/cpt/87428
NCCI release: 2026 D
Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0)
0115U    0115U is Column One, 87428 is Column Two—87428 denies
0202U    0202U is Column One, 87428 is Column Two—87428 denies
87275    87428 is Column One, 87275 is Column Two—87275 denies
87276    87428 is Column One, 87276 is Column Two—87276 denies
87400    87428 is Column One, 87400 is Column Two—87400 denies
87426    87428 is Column One, 87426 is Column Two—87426 denies
87501    87428 is Column One, 87501 is Column Two—87501 denies
87502    87428 is Column One, 87502 is Column Two—87502 denies
87503    87428 is Column One, 87503 is Column Two—87503 denies
87635    87428 is Column One, 87635 is Column Two—87635 denies
87636    87428 is Column One, 87636 is Column Two—87636 denies
87637    87637 is Column One, 87428 is Column Two—87428 denies
87804    87428 is Column One, 87804 is Column Two—87804 denies
87811    87428 is Column One, 87811 is Column Two—87811 denies
96523    87428 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
0408U    87428 is Column One, 0408U is Column Two—0408U denies
0442U    87428 is Column One, 0442U is Column Two—0442U denies
0528U    0528U is Column One, 87428 is Column Two—87428 denies
87631    87631 is Column One, 87428 is Column Two—87428 denies
87632    87632 is Column One, 87428 is Column Two—87428 denies
87633    87633 is Column One, 87428 is Column Two—87428 denies

MUE units per patient per date of service: 1