NCCI edits for 85004
Code page: https://localishealth.com/cpt/85004
NCCI release: 2026 D
Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0)
85007    85007 is Column One, 85004 is Column Two—85004 denies
85008    85004 is Column One, 85008 is Column Two—85008 denies
85025    85025 is Column One, 85004 is Column Two—85004 denies
85027    85027 is Column One, 85004 is Column Two—85004 denies
96523    85004 is Column One, 96523 is Column Two—96523 denies
G0306    G0306 is Column One, 85004 is Column Two—85004 denies
G0307    G0307 is Column One, 85004 is Column Two—85004 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
80081    80081 is Column One, 85004 is Column Two—85004 denies
85009    85009 is Column One, 85004 is Column Two—85004 denies

MUE units per patient per date of service: 1