NCCI edits for CPT 88350
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 51 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 9 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.
- 96523 96523 denies
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.
- 0312U 88350 denies
- 86052 88350 denies
- 86362 88350 denies
- 87265 88350 denies
- 87267 88350 denies
- 87269 88350 denies
- 87270 88350 denies
- 87271 88350 denies
- 87272 88350 denies
- 87273 88350 denies
- 87274 88350 denies
- 87275 88350 denies
- 87276 88350 denies
- 87278 88350 denies
- 87279 88350 denies
- 87280 88350 denies
- 87281 88350 denies
- 87283 88350 denies
- 87285 88350 denies
- 87290 88350 denies
- 87300 88350 denies
- 87301 88350 denies
- 87305 88350 denies
- 87320 88350 denies
- 87324 88350 denies
- 87327 88350 denies
- 87328 88350 denies
- 87329 88350 denies
- 87332 88350 denies
- 87335 88350 denies
- 87336 88350 denies
- 87337 88350 denies
- 87338 88350 denies
- 87339 88350 denies
- 87340 88350 denies
- 87341 88350 denies
- 87350 88350 denies
- 87380 88350 denies
- 87385 88350 denies
- 87389 88350 denies
- 87390 88350 denies
- 87391 88350 denies
- 87400 88350 denies
- 87420 88350 denies
- 87425 88350 denies
- 87426 88350 denies
- 87427 88350 denies
- 87430 88350 denies
- 87449 88350 denies
- 87451 88350 denies
Showing 50 of 51. 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.