NCCI edits for CPT 88381
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 16 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.
- 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.
- 0009U 88381 denies
- 0249U 88381 denies
- 88120 88381 denies
- 88121 88381 denies
- 88355 88355 denies
- 88356 88381 denies
- 88358 88358 denies
- 88360 88360 denies
- 88361 88361 denies
- 88362 88381 denies
- 88363 88363 denies
- 88367 88381 denies
- 88368 88381 denies
- 88374 88381 denies
- 88377 88381 denies
- 88380 88381 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.