NCCI edits for CPT 99316
CMS lists 221 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,860 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One 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
- 15011 99316 denies
- 15013 99316 denies
- 15015 99316 denies
- 15017 99316 denies
- 25448 99316 denies
- 36591 36591 denies
- 36592 36592 denies
- 38225 99316 denies
- 38226 99316 denies
Showing 50 of 221. 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 5,860. 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.