NCCI edits for 99195
Code page: https://localishealth.com/cpt/99195
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    99195 is Column One, 36591 is Column Two—36591 denies
36592    99195 is Column One, 36592 is Column Two—36592 denies
96523    99195 is Column One, 96523 is Column Two—96523 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
36000    99195 is Column One, 36000 is Column Two—36000 denies
36400    36400 is Column One, 99195 is Column Two—99195 denies
36405    99195 is Column One, 36405 is Column Two—36405 denies
36406    36406 is Column One, 99195 is Column Two—99195 denies
36410    36410 is Column One, 99195 is Column Two—99195 denies
36420    99195 is Column One, 36420 is Column Two—36420 denies
36425    99195 is Column One, 36425 is Column Two—36425 denies
86890    86890 is Column One, 99195 is Column Two—99195 denies
86891    86891 is Column One, 99195 is Column Two—99195 denies

MUE units per patient per date of service: 2