NCCI edits for CPT 63086
CMS lists 38 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 20 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.
- 0333T 0333T denies
- 0464T 0464T denies
- 36591 36591 denies
- 36592 36592 denies
- 38220 38220 denies
- 38222 38222 denies
- 38230 38230 denies
- 38232 38232 denies
- 92652 92652 denies
- 92653 92653 denies
- 95822 95822 denies
- 95860 95860 denies
- 95861 95861 denies
- 95863 95863 denies
- 95864 95864 denies
- 95865 95865 denies
- 95866 95866 denies
- 95867 95867 denies
- 95868 95868 denies
- 95869 95869 denies
- 95907 95907 denies
- 95908 95908 denies
- 95909 95909 denies
- 95910 95910 denies
- 95911 95911 denies
- 95912 95912 denies
- 95913 95913 denies
- 95925 95925 denies
- 95926 95926 denies
- 95927 95927 denies
- 95930 95930 denies
- 95933 95933 denies
- 95937 95937 denies
- 95938 95938 denies
- 95939 95939 denies
- 95940 95940 denies
- 96523 96523 denies
- G0453 G0453 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.
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 22206 63086 denies
- 22207 63086 denies
- 22208 63086 denies
- 38221 38221 denies
- 63707 63707 denies
- 63709 63709 denies
- 97597 97597 denies
- 97598 97598 denies
- 97602 97602 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.