NCCI edits for CPT 88321
CMS lists 6 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 59 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 1 unit 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
- 0441U 0441U denies
- 0483U 0483U denies
- 0484U 0484U denies
- 0504U 0504U denies
- 85097 85097 denies
- 87209 87209 denies
- 88104 88104 denies
- 88106 88106 denies
- 88108 88108 denies
- 88120 88120 denies
- 88121 88121 denies
- 88125 88125 denies
- 88130 88130 denies
- 88140 88140 denies
- 88141 88141 denies
- 88160 88160 denies
- 88161 88161 denies
- 88162 88162 denies
- 88173 88173 denies
- 88182 88182 denies
- 88184 88184 denies
- 88187 88187 denies
- 88188 88188 denies
- 88189 88189 denies
- 88302 88302 denies
- 88304 88304 denies
- 88305 88305 denies
- 88307 88307 denies
- 88309 88309 denies
- 88312 88312 denies
- 88313 88313 denies
- 88314 88314 denies
- 88319 88319 denies
- 88342 88342 denies
- 88344 88344 denies
- 88346 88346 denies
- 88348 88348 denies
- 88355 88355 denies
- 88356 88356 denies
- 88358 88358 denies
- 88360 88360 denies
- 88361 88361 denies
- 88363 88363 denies
- 88365 88365 denies
Showing 50 of 59. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.