NCCI edits for 86413
Code page: https://localishealth.com/cpt/86413
NCCI release: 2026 C
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, 86413 is Column Two—86413 denies
86317    86413 is Column One, 86317 is Column Two—86317 denies
86408    86413 is Column One, 86408 is Column Two—86408 denies
86769    86413 is Column One, 86769 is Column Two—86769 denies
96523    86413 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, 86413 is Column Two—86413 denies
86318    86413 is Column One, 86318 is Column Two—86318 denies
86328    86413 is Column One, 86328 is Column Two—86328 denies
86409    86413 is Column One, 86409 is Column Two—86409 denies

MUE units per patient per date of service: not published