NCCI edits for 96004
Code page: https://localishealth.com/cpt/96004
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)
36591    96004 is Column One, 36591 is Column Two—36591 denies
36592    96004 is Column One, 36592 is Column Two—36592 denies
96523    96004 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
95860    96004 is Column One, 95860 is Column Two—95860 denies
95861    96004 is Column One, 95861 is Column Two—95861 denies
95863    96004 is Column One, 95863 is Column Two—95863 denies
95864    96004 is Column One, 95864 is Column Two—95864 denies
95865    96004 is Column One, 95865 is Column Two—95865 denies
95866    96004 is Column One, 95866 is Column Two—95866 denies
95869    96004 is Column One, 95869 is Column Two—95869 denies
95870    96004 is Column One, 95870 is Column Two—95870 denies
95872    96004 is Column One, 95872 is Column Two—95872 denies
97116    96004 is Column One, 97116 is Column Two—97116 denies
97750    96004 is Column One, 97750 is Column Two—97750 denies

MUE units per patient per date of service: 1