NCCI edits for CPT 88161
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 4 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.
- 0018M 88161 denies
- 81560 88161 denies
- 88104 88104 denies
- 88106 88106 denies
- 88108 88108 denies
- 88112 88161 denies
- 88150 88161 denies
- 88162 88161 denies
- 88164 88161 denies
- 88184 88161 denies
- 88187 88161 denies
- 88188 88161 denies
- 88189 88161 denies
- 88304 88161 denies
- 88305 88161 denies
- 88307 88161 denies
- 88309 88161 denies
- 88321 88161 denies
- 88323 88161 denies
- 88325 88161 denies
- 88331 88161 denies
- 88332 88161 denies
- 88333 88161 denies
- 88334 88161 denies
- 88387 88387 denies
- G0416 88161 denies
- P3000 88161 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.