NCCI edits for CPT 99409
CMS lists 140 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 133 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.
- 0395T 99409 denies
- 0469T 0469T denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99409 denies
- 80504 99409 denies
- 80505 99409 denies
- 80506 99409 denies
- 90791 99409 denies
- 90792 99409 denies
- 90832 99409 denies
- 90833 99409 denies
- 90834 99409 denies
- 90836 99409 denies
- 90837 99409 denies
- 90838 99409 denies
- 90845 99409 denies
- 90846 99409 denies
- 90847 99409 denies
- 90849 99409 denies
- 90853 99409 denies
- 90880 99409 denies
- 93793 93793 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96156 99409 denies
- 96158 99409 denies
- 96159 96159 denies
- 96164 96164 denies
- 96165 96165 denies
- 96167 99409 denies
- 96168 96168 denies
- 96170 96170 denies
- 96171 96171 denies
- 96202 99409 denies
- 96203 99409 denies
- 96523 96523 denies
- 99091 99091 denies
- 99172 99172 denies
- 99202 99409 denies
- 99203 99409 denies
- 99204 99409 denies
- 99205 99409 denies
- 99211 99409 denies
- 99212 99409 denies
- 99213 99409 denies
- 99214 99409 denies
- 99215 99409 denies
Showing 50 of 140. 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
- 77261 99409 denies
- 77262 99409 denies
- 77263 99409 denies
- 77280 99409 denies
- 77285 99409 denies
- 77290 99409 denies
- 77293 99409 denies
- 77295 99409 denies
- 77300 99409 denies
- 77301 99409 denies
- 77306 99409 denies
- 77307 99409 denies
- 77316 99409 denies
- 77317 99409 denies
- 77318 99409 denies
- 77321 99409 denies
- 77331 99409 denies
- 77332 99409 denies
- 77333 99409 denies
- 77334 99409 denies
- 77336 99409 denies
- 77338 99409 denies
- 77370 99409 denies
- 77371 99409 denies
- 77372 99409 denies
- 77373 99409 denies
- 77417 99409 denies
- 77423 99409 denies
- 77424 99409 denies
- 77425 99409 denies
- 77427 99409 denies
- 77431 99409 denies
- 77432 99409 denies
- 77435 99409 denies
- 77469 99409 denies
- 77470 99409 denies
- 77520 99409 denies
- 77522 99409 denies
- 77523 99409 denies
- 77525 99409 denies
- 77600 99409 denies
- 77605 99409 denies
- 77610 99409 denies
- 77615 99409 denies
- 77620 99409 denies
- 77750 99409 denies
- 77761 99409 denies
- 77762 99409 denies
Showing 50 of 133. 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.