NCCI edits for CPT 99493
CMS lists 93 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 103 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 99493 denies
- 0469T 0469T denies
- 0733T 99493 denies
- 0734T 99493 denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99493 denies
- 80504 99493 denies
- 80505 99493 denies
- 80506 99493 denies
- 90951 99493 denies
- 90952 99493 denies
- 90953 99493 denies
- 90954 99493 denies
- 90955 99493 denies
- 90956 99493 denies
- 90957 99493 denies
- 90958 99493 denies
- 90959 99493 denies
- 90960 99493 denies
- 90961 99493 denies
- 90962 99493 denies
- 90963 99493 denies
- 90964 99493 denies
- 90965 99493 denies
- 90966 99493 denies
- 90967 99493 denies
- 90968 99493 denies
- 90969 99493 denies
- 90970 99493 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96127 96127 denies
- 96523 96523 denies
- 98000 98000 denies
- 98001 98001 denies
- 98002 98002 denies
- 98003 98003 denies
- 98004 98004 denies
- 98005 98005 denies
- 98006 98006 denies
- 98007 98007 denies
- 98008 98008 denies
- 98009 98009 denies
- 98010 98010 denies
- 98011 98011 denies
- 98012 98012 denies
- 98013 98013 denies
Showing 50 of 93. 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 99493 denies
- 77261 99493 denies
- 77262 99493 denies
- 77263 99493 denies
- 77280 99493 denies
- 77285 99493 denies
- 77290 99493 denies
- 77293 99493 denies
- 77295 99493 denies
- 77300 99493 denies
- 77301 99493 denies
- 77306 99493 denies
- 77307 99493 denies
- 77316 99493 denies
- 77317 99493 denies
- 77318 99493 denies
- 77321 99493 denies
- 77331 99493 denies
- 77332 99493 denies
- 77333 99493 denies
- 77334 99493 denies
- 77336 99493 denies
- 77338 99493 denies
- 77370 99493 denies
- 77371 99493 denies
- 77372 99493 denies
- 77373 99493 denies
- 77417 99493 denies
- 77423 99493 denies
- 77424 99493 denies
- 77425 99493 denies
- 77427 99493 denies
- 77431 99493 denies
- 77432 99493 denies
- 77435 99493 denies
- 77469 99493 denies
- 77470 99493 denies
- 77520 99493 denies
- 77522 99493 denies
- 77523 99493 denies
- 77525 99493 denies
- 77600 99493 denies
- 77605 99493 denies
- 77610 99493 denies
- 77615 99493 denies
- 77620 99493 denies
- 77750 99493 denies
- 77761 99493 denies
Showing 50 of 103. 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.