NCCI edits for CPT 99316
CMS lists 229 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,862 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q4 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
Medically Unlikely Edit (MUE) Copy link
The published MUE is 1 unit per patient per date of service.
Not separately payable together Copy link
Modifier indicator 0: the edit cannot be bypassed with an NCCI-associated modifier. Each row names the code that denies. CMS writes every edit as an ordered pair: the Column Two code is denied and the Column One code is paid.
- 00537 99316 denies
- 00550 99316 denies
- 00563 99316 denies
- 00566 99316 denies
- 00625 99316 denies
- 00626 99316 denies
- 00635 99316 denies
- 01112 99316 denies
- 01173 99316 denies
- 01215 99316 denies
- 01937 99316 denies
- 01938 99316 denies
- 01939 99316 denies
- 01940 99316 denies
- 01941 99316 denies
- 01942 99316 denies
- 01951 99316 denies
- 01952 99316 denies
- 01958 99316 denies
- 0395T 99316 denies
- 0469T 0469T denies
- 0867T 99316 denies
- 0868T 99316 denies
- 0869T 99316 denies
- 0870T 99316 denies
- 0871T 99316 denies
- 0872T 99316 denies
- 0873T 99316 denies
- 0874T 99316 denies
- 0875T 99316 denies
- 0876T 99316 denies
- 0885T 99316 denies
- 0901T 99316 denies
- 0908T 99316 denies
- 0909T 99316 denies
- 0910T 99316 denies
- 0913T 99316 denies
- 0919T 99316 denies
- 0920T 99316 denies
- 0921T 99316 denies
- 0922T 99316 denies
- 0933T 99316 denies
- 0935T 99316 denies
- 0936T 99316 denies
- 0941T 99316 denies
- 0942T 99316 denies
- 0943T 99316 denies
- 0944T 99316 denies
- 0947T 99316 denies
- 15011 99316 denies
Showing 50 of 229. The plain-text version contains every pair.
Modifier may be allowed Copy link
Modifier indicator 1: an NCCI-associated modifier may be used when the circumstances and documentation support it. Each row names the Column Two code, which is the one denied absent an allowed modifier.
- 0335T 99316 denies
- 0338T 99316 denies
- 0339T 99316 denies
- 0342T 99316 denies
- 0345T 99316 denies
- 0347T 99316 denies
- 0362T 0362T denies
- 0373T 0373T denies
- 0397T 99316 denies
- 0402T 99316 denies
- 0408T 99316 denies
- 0409T 99316 denies
- 0410T 99316 denies
- 0411T 99316 denies
- 0412T 99316 denies
- 0413T 99316 denies
- 0414T 99316 denies
- 0415T 99316 denies
- 0416T 99316 denies
- 0419T 99316 denies
- 0420T 99316 denies
- 0437T 99316 denies
- 0440T 99316 denies
- 0441T 99316 denies
- 0442T 99316 denies
- 0444T 99316 denies
- 0445T 99316 denies
- 0446T 99316 denies
- 0447T 99316 denies
- 0448T 99316 denies
- 0449T 99316 denies
- 0450T 99316 denies
- 0474T 99316 denies
- 0479T 99316 denies
- 0480T 99316 denies
- 0481T 99316 denies
- 0483T 99316 denies
- 0484T 99316 denies
- 0489T 99316 denies
- 0490T 99316 denies
- 0505T 99316 denies
- 0510T 99316 denies
- 0511T 99316 denies
- 0512T 99316 denies
- 0513T 99316 denies
- 0515T 99316 denies
- 0516T 99316 denies
- 0517T 99316 denies
- 0518T 99316 denies
- 0519T 99316 denies
Showing 50 of 5,862. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.