NCCI edits for 86038
Code page: https://localishealth.com/cpt/86038
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)
0062U    0062U is Column One, 86038 is Column Two—86038 denies
96523    86038 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
0472U    0472U is Column One, 86038 is Column Two—86038 denies
80503    86038 is Column One, 80503 is Column Two—80503 denies
80504    86038 is Column One, 80504 is Column Two—80504 denies
80505    86038 is Column One, 80505 is Column Two—80505 denies
80506    86038 is Column One, 80506 is Column Two—80506 denies

MUE units per patient per date of service: 1