NCCI edits for CPT 99469
CMS lists 476 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 209 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.
- 00100 99469 denies
- 00102 99469 denies
- 00103 99469 denies
- 00104 99469 denies
- 00120 99469 denies
- 00124 99469 denies
- 00126 99469 denies
- 00140 99469 denies
- 00142 99469 denies
- 00144 99469 denies
- 00145 99469 denies
- 00147 99469 denies
- 00148 99469 denies
- 00160 99469 denies
- 00162 99469 denies
- 00164 99469 denies
- 00170 99469 denies
- 00172 99469 denies
- 00174 99469 denies
- 00176 99469 denies
- 00190 99469 denies
- 00192 99469 denies
- 00210 99469 denies
- 00211 99469 denies
- 00212 99469 denies
- 00214 99469 denies
- 00215 99469 denies
- 00216 99469 denies
- 00218 99469 denies
- 00220 99469 denies
- 00222 99469 denies
- 00300 99469 denies
- 00320 99469 denies
- 00322 99469 denies
- 00326 99469 denies
- 00350 99469 denies
- 00352 99469 denies
- 00400 99469 denies
- 00402 99469 denies
- 00404 99469 denies
- 00406 99469 denies
- 00410 99469 denies
- 00450 99469 denies
- 00454 99469 denies
- 00470 99469 denies
- 00472 99469 denies
- 00474 99469 denies
- 00500 99469 denies
- 00520 99469 denies
- 00522 99469 denies
Showing 50 of 476. 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
- 0692T 99469 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0944T 99469 denies
- 31500 31500 denies
- 36140 36140 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36415 36415 denies
- 36420 36420 denies
- 36430 36430 denies
- 36440 36440 denies
- 36510 36510 denies
- 36511 99469 denies
- 36512 99469 denies
- 36513 99469 denies
- 36514 99469 denies
- 36516 99469 denies
- 36555 36555 denies
- 36568 36568 denies
- 36572 36572 denies
- 36600 36600 denies
- 36620 36620 denies
- 36660 36660 denies
- 38206 99469 denies
- 38225 99469 denies
- 38228 99469 denies
- 43752 43752 denies
- 43753 43753 denies
- 51100 51100 denies
- 51701 51701 denies
- 51702 51702 denies
- 62270 62270 denies
- 62328 62328 denies
- 71045 71045 denies
- 71046 71046 denies
- 71047 71047 denies
- 90846 90846 denies
- 90847 90847 denies
- 90849 90849 denies
- 90869 99469 denies
- 90951 99469 denies
- 90952 99469 denies
- 90953 99469 denies
- 90954 99469 denies
- 90955 99469 denies
- 90956 99469 denies
Showing 50 of 209. 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.