NCCI edits for CPT 99404
CMS lists 43 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 138 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 0 units 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.
- 0395T 99404 denies
- 0469T 0469T denies
- 0944T 99404 denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99404 denies
- 80504 99404 denies
- 80505 99404 denies
- 80506 99404 denies
- 90791 99404 denies
- 90792 99404 denies
- 90832 99404 denies
- 90833 99404 denies
- 90834 99404 denies
- 90836 99404 denies
- 90837 99404 denies
- 90838 99404 denies
- 93793 93793 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96156 99404 denies
- 96158 96158 denies
- 96159 96159 denies
- 96164 96164 denies
- 96165 96165 denies
- 96167 96167 denies
- 96168 96168 denies
- 96170 96170 denies
- 96171 96171 denies
- 96202 99404 denies
- 96203 99404 denies
- 96523 96523 denies
- 99091 99091 denies
- 99172 99172 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- 99474 99474 denies
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.
- 0362T 0362T denies
- 0373T 0373T denies
- 0403T 0403T denies
- 0488T 0488T denies
- 77261 99404 denies
- 77262 99404 denies
- 77263 99404 denies
- 77280 99404 denies
- 77285 99404 denies
- 77290 99404 denies
- 77293 99404 denies
- 77295 99404 denies
- 77300 99404 denies
- 77301 99404 denies
- 77306 99404 denies
- 77307 99404 denies
- 77316 99404 denies
- 77317 99404 denies
- 77318 99404 denies
- 77321 99404 denies
- 77331 99404 denies
- 77332 99404 denies
- 77333 99404 denies
- 77334 99404 denies
- 77336 99404 denies
- 77338 99404 denies
- 77370 99404 denies
- 77371 99404 denies
- 77372 99404 denies
- 77373 99404 denies
- 77417 99404 denies
- 77423 99404 denies
- 77424 99404 denies
- 77425 99404 denies
- 77427 99404 denies
- 77431 99404 denies
- 77432 99404 denies
- 77435 99404 denies
- 77469 99404 denies
- 77470 99404 denies
- 77520 99404 denies
- 77522 99404 denies
- 77523 99404 denies
- 77525 99404 denies
- 77600 99404 denies
- 77605 99404 denies
- 77610 99404 denies
- 77615 99404 denies
- 77620 99404 denies
- 77750 99404 denies
Showing 50 of 138. 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.