NCCI edits for 86816
Code page: https://localishealth.com/cpt/86816
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)
81370    81370 is Column One, 86816 is Column Two—86816 denies
81371    81371 is Column One, 86816 is Column Two—86816 denies
81372    81372 is Column One, 86816 is Column Two—86816 denies
81373    81373 is Column One, 86816 is Column Two—86816 denies
81375    81375 is Column One, 86816 is Column Two—86816 denies
81376    81376 is Column One, 86816 is Column Two—86816 denies
81377    81377 is Column One, 86816 is Column Two—86816 denies
81378    81378 is Column One, 86816 is Column Two—86816 denies
81382    81382 is Column One, 86816 is Column Two—86816 denies
81383    81383 is Column One, 86816 is Column Two—86816 denies
96523    86816 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
81380    81380 is Column One, 86816 is Column Two—86816 denies
81381    81381 is Column One, 86816 is Column Two—86816 denies
86817    86817 is Column One, 86816 is Column Two—86816 denies

MUE units per patient per date of service: 1