NCCI edits for CPT 88185
CMS lists 2 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 32 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 35 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 88185 denies
- 0021U 88185 denies
- 0058U 88185 denies
- 0059U 88185 denies
- 0062U 88185 denies
- 0091U 88185 denies
- 0092U 88185 denies
- 0312U 88185 denies
- 0406U 88185 denies
- 38207 88185 denies
- 38208 88185 denies
- 38209 88185 denies
- 38210 88185 denies
- 38211 88185 denies
- 38212 88185 denies
- 38213 88185 denies
- 38214 88185 denies
- 38215 88185 denies
- 86053 88185 denies
- 86152 88185 denies
- 86153 88185 denies
- 86363 88185 denies
- 86825 88185 denies
- 86826 88185 denies
- 86828 88185 denies
- 86829 88185 denies
- 86830 88185 denies
- 86831 88185 denies
- 86832 88185 denies
- 86833 88185 denies
- 86834 88185 denies
- 88387 88387 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.