NCCI edits for CPT 99406
CMS lists 109 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 99 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.
- 0395T 99406 denies
- 0469T 0469T denies
- 0944T 99406 denies
- 36591 36591 denies
- 36592 36592 denies
- 77261 99406 denies
- 77262 99406 denies
- 77263 99406 denies
- 77280 99406 denies
- 77285 99406 denies
- 77290 99406 denies
- 77293 99406 denies
- 77295 99406 denies
- 77300 99406 denies
- 77301 99406 denies
- 77306 99406 denies
- 77307 99406 denies
- 77316 99406 denies
- 77317 99406 denies
- 77318 99406 denies
- 77321 99406 denies
- 77331 99406 denies
- 77332 99406 denies
- 77333 99406 denies
- 77334 99406 denies
- 77336 99406 denies
- 77338 99406 denies
- 77370 99406 denies
- 77371 99406 denies
- 77372 99406 denies
- 77373 99406 denies
- 77417 99406 denies
- 77423 99406 denies
- 77424 99406 denies
- 77425 99406 denies
- 77427 99406 denies
- 77431 99406 denies
- 77432 99406 denies
- 77435 99406 denies
- 77469 99406 denies
- 77470 99406 denies
- 77520 99406 denies
- 77522 99406 denies
- 77523 99406 denies
- 77525 99406 denies
- 77600 99406 denies
- 77605 99406 denies
- 77610 99406 denies
- 77615 99406 denies
- 77620 99406 denies
Showing 50 of 109. 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.
- 0362T 0362T denies
- 0373T 0373T denies
- 0890T 99406 denies
- 0891T 99406 denies
- 0892T 99406 denies
- 90460 99406 denies
- 90461 99406 denies
- 90471 99406 denies
- 90472 99406 denies
- 90473 99406 denies
- 90474 99406 denies
- 90480 99406 denies
- 90832 99406 denies
- 90834 99406 denies
- 90837 99406 denies
- 90869 99406 denies
- 90951 99406 denies
- 90952 99406 denies
- 90953 99406 denies
- 90954 99406 denies
- 90955 99406 denies
- 90956 99406 denies
- 90957 99406 denies
- 90958 99406 denies
- 90959 99406 denies
- 90960 99406 denies
- 90961 99406 denies
- 90962 99406 denies
- 90963 99406 denies
- 90964 99406 denies
- 90965 99406 denies
- 90966 99406 denies
- 90967 99406 denies
- 90968 99406 denies
- 90969 99406 denies
- 90970 99406 denies
- 93792 93792 denies
- 95004 99406 denies
- 95012 99406 denies
- 95017 99406 denies
- 95018 99406 denies
- 95024 99406 denies
- 95027 99406 denies
- 95028 99406 denies
- 95044 99406 denies
- 95052 99406 denies
- 95056 99406 denies
- 95060 99406 denies
- 95065 99406 denies
- 95070 99406 denies
Showing 50 of 99. 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.