NCCI edits for 86803
Code page: https://localishealth.com/cpt/86803
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)
80074    80074 is Column One, 86803 is Column Two—86803 denies
96523    86803 is Column One, 96523 is Column Two—96523 denies
G0472    86803 is Column One, G0472 is Column Two—G0472 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)

MUE units per patient per date of service: 1