NCCI edits for 86409
Code page: https://localishealth.com/cpt/86409
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)
0224U    0224U is Column One, 86409 is Column Two—86409 denies
0226U    0226U is Column One, 86409 is Column Two—86409 denies
86328    86409 is Column One, 86328 is Column Two—86328 denies
86769    86409 is Column One, 86769 is Column Two—86769 denies
96523    86409 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
0408U    0408U is Column One, 86409 is Column Two—86409 denies
86413    86413 is Column One, 86409 is Column Two—86409 denies

MUE units per patient per date of service: 1