NCCI edits for CPT 99486
CMS lists 160 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 145 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 4 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 99486 denies
- 0469T 0469T denies
- 36591 36591 denies
- 36592 36592 denies
- 77261 99486 denies
- 77262 99486 denies
- 77263 99486 denies
- 77280 99486 denies
- 77285 99486 denies
- 77290 99486 denies
- 77293 99486 denies
- 77295 99486 denies
- 77300 99486 denies
- 77301 99486 denies
- 77306 99486 denies
- 77307 99486 denies
- 77316 99486 denies
- 77317 99486 denies
- 77318 99486 denies
- 77321 99486 denies
- 77331 99486 denies
- 77332 99486 denies
- 77333 99486 denies
- 77334 99486 denies
- 77336 99486 denies
- 77338 99486 denies
- 77370 99486 denies
- 77371 99486 denies
- 77372 99486 denies
- 77373 99486 denies
- 77417 99486 denies
- 77423 99486 denies
- 77424 99486 denies
- 77425 99486 denies
- 77427 99486 denies
- 77431 99486 denies
- 77432 99486 denies
- 77435 99486 denies
- 77469 99486 denies
- 77470 99486 denies
- 77520 99486 denies
- 77522 99486 denies
- 77523 99486 denies
- 77525 99486 denies
- 77600 99486 denies
- 77605 99486 denies
- 77610 99486 denies
- 77615 99486 denies
- 77620 99486 denies
- 77750 99486 denies
Showing 50 of 160. 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
- 0708T 0708T denies
- 0709T 0709T denies
- 31500 31500 denies
- 36000 36000 denies
- 36140 36140 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36415 36415 denies
- 36420 36420 denies
- 36430 36430 denies
- 36440 36440 denies
- 36510 36510 denies
- 36555 36555 denies
- 36568 36568 denies
- 36572 36572 denies
- 36600 36600 denies
- 36620 36620 denies
- 36660 36660 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
- 92953 92953 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93318 93318 denies
- 93355 93355 denies
- 93792 93792 denies
- 94610 94610 denies
- 94644 94644 denies
- 94728 94728 denies
- 94762 94762 denies
- 95115 99486 denies
- 95117 99486 denies
- 95120 99486 denies
- 95125 99486 denies
Showing 50 of 145. 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.