NCCI edits for CPT 99426
CMS lists 63 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 212 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 99426 denies
- 0469T 0469T denies
- 0488T 0488T denies
- 0733T 99426 denies
- 0734T 99426 denies
- 36591 36591 denies
- 36592 36592 denies
- 90791 99426 denies
- 90792 99426 denies
- 90832 99426 denies
- 90833 99426 denies
- 90834 99426 denies
- 90836 99426 denies
- 90837 99426 denies
- 90838 99426 denies
- 90951 99426 denies
- 90952 99426 denies
- 90953 99426 denies
- 90954 99426 denies
- 90955 99426 denies
- 90956 99426 denies
- 90957 99426 denies
- 90958 99426 denies
- 90959 99426 denies
- 90960 99426 denies
- 90961 99426 denies
- 90962 99426 denies
- 90963 99426 denies
- 90964 99426 denies
- 90965 99426 denies
- 90966 99426 denies
- 90967 99426 denies
- 90968 99426 denies
- 90969 99426 denies
- 90970 99426 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96127 96127 denies
- 96523 96523 denies
- 98978 99426 denies
- 99172 99172 denies
- 99374 99426 denies
- 99375 99426 denies
- 99377 99426 denies
- 99378 99426 denies
- 99379 99426 denies
- 99380 99426 denies
- 99424 99426 denies
Showing 50 of 63. 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
- 0944T 99426 denies
- 77261 99426 denies
- 77262 99426 denies
- 77263 99426 denies
- 77280 99426 denies
- 77285 99426 denies
- 77290 99426 denies
- 77293 99426 denies
- 77295 99426 denies
- 77300 99426 denies
- 77301 99426 denies
- 77306 99426 denies
- 77307 99426 denies
- 77316 99426 denies
- 77317 99426 denies
- 77318 99426 denies
- 77321 99426 denies
- 77331 99426 denies
- 77332 99426 denies
- 77333 99426 denies
- 77334 99426 denies
- 77336 99426 denies
- 77338 99426 denies
- 77370 99426 denies
- 77371 99426 denies
- 77372 99426 denies
- 77373 99426 denies
- 77417 99426 denies
- 77423 99426 denies
- 77424 99426 denies
- 77425 99426 denies
- 77427 99426 denies
- 77431 99426 denies
- 77432 99426 denies
- 77435 99426 denies
- 77469 99426 denies
- 77470 99426 denies
- 77520 99426 denies
- 77522 99426 denies
- 77523 99426 denies
- 77525 99426 denies
- 77600 99426 denies
- 77605 99426 denies
- 77610 99426 denies
- 77615 99426 denies
- 77620 99426 denies
- 77750 99426 denies
- 77761 99426 denies
Showing 50 of 212. 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.