NCCI edits for CPT 86359
CMS lists 1 active pair with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 17 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.
- 0018M 86359 denies
- 0062U 86359 denies
- 0431U 86359 denies
- 80503 80503 denies
- 80504 80504 denies
- 80505 80505 denies
- 80506 80506 denies
- 81560 86359 denies
- 86152 86359 denies
- 86153 86359 denies
- 86481 86359 denies
- 86825 86359 denies
- 86826 86359 denies
- 88184 86359 denies
- 88187 86359 denies
- 88188 86359 denies
- 88189 86359 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.