NCCI edits for CPT 96381
CMS lists 5 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 55 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: 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.
- 99202 99202 denies
- 99203 99203 denies
- 99204 99204 denies
- 99205 99205 denies
- 99212 99212 denies
- 99213 99213 denies
- 99214 99214 denies
- 99215 99215 denies
- 99221 96381 denies
- 99222 96381 denies
- 99223 96381 denies
- 99231 96381 denies
- 99232 96381 denies
- 99233 96381 denies
- 99234 96381 denies
- 99235 96381 denies
- 99236 96381 denies
- 99238 96381 denies
- 99239 96381 denies
- 99281 96381 denies
- 99282 96381 denies
- 99283 96381 denies
- 99284 96381 denies
- 99285 96381 denies
- 99288 96381 denies
- 99291 96381 denies
- 99304 96381 denies
- 99305 96381 denies
- 99306 96381 denies
- 99307 96381 denies
- 99308 96381 denies
- 99309 96381 denies
- 99310 96381 denies
- 99315 96381 denies
- 99316 96381 denies
- 99341 96381 denies
- 99342 96381 denies
- 99344 96381 denies
- 99345 96381 denies
- 99347 96381 denies
- 99348 96381 denies
- 99349 96381 denies
- 99350 96381 denies
- 99358 96381 denies
- 99456 99456 denies
- 99460 96381 denies
- 99461 96381 denies
- 99462 96381 denies
- 99463 96381 denies
- 99465 96381 denies
Showing 50 of 55. 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.