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: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One 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.