NCCI edits for CPT 88121
CMS lists 2 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 27 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.
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.
- 0009U 0009U denies
- 0086U 0086U denies
- 0140U 0140U denies
- 0141U 0141U denies
- 0142U 0142U denies
- 0321U 0321U denies
- 80503 80503 denies
- 80504 80504 denies
- 80505 80505 denies
- 80506 80506 denies
- 88271 88271 denies
- 88272 88272 denies
- 88273 88273 denies
- 88274 88274 denies
- 88275 88275 denies
- 88321 88121 denies
- 88323 88121 denies
- 88325 88121 denies
- 88358 88358 denies
- 88365 88365 denies
- 88366 88366 denies
- 88367 88367 denies
- 88368 88368 denies
- 88374 88374 denies
- 88377 88377 denies
- 88380 88380 denies
- 88381 88381 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.