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: 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.
- 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.