NCCI edits for CPT 99494
CMS lists 75 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 100 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 99494 denies
- 0469T 0469T denies
- 0733T 99494 denies
- 0734T 99494 denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99494 denies
- 80504 99494 denies
- 80505 99494 denies
- 80506 99494 denies
- 90951 99494 denies
- 90952 99494 denies
- 90953 99494 denies
- 90954 99494 denies
- 90955 99494 denies
- 90956 99494 denies
- 90957 99494 denies
- 90958 99494 denies
- 90959 99494 denies
- 90960 99494 denies
- 90961 99494 denies
- 90962 99494 denies
- 90963 99494 denies
- 90964 99494 denies
- 90965 99494 denies
- 90966 99494 denies
- 90967 99494 denies
- 90968 99494 denies
- 90969 99494 denies
- 90970 99494 denies
- 94002 94002 denies
- 94003 94003 denies
- 94004 94004 denies
- 94660 94660 denies
- 96127 96127 denies
- 96523 96523 denies
- 98960 98960 denies
- 98961 98961 denies
- 98962 98962 denies
- 98966 98966 denies
- 98967 98967 denies
- 98968 98968 denies
- 98970 98970 denies
- 98971 98971 denies
- 98972 98972 denies
- 98978 99494 denies
- 99071 99071 denies
- 99078 99078 denies
- 99080 99080 denies
- 99091 99091 denies
Showing 50 of 75. 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 99494 denies
- 77262 99494 denies
- 77263 99494 denies
- 77280 99494 denies
- 77285 99494 denies
- 77290 99494 denies
- 77293 99494 denies
- 77295 99494 denies
- 77300 99494 denies
- 77301 99494 denies
- 77306 99494 denies
- 77307 99494 denies
- 77316 99494 denies
- 77317 99494 denies
- 77318 99494 denies
- 77321 99494 denies
- 77331 99494 denies
- 77332 99494 denies
- 77333 99494 denies
- 77334 99494 denies
- 77336 99494 denies
- 77338 99494 denies
- 77370 99494 denies
- 77371 99494 denies
- 77372 99494 denies
- 77373 99494 denies
- 77417 99494 denies
- 77423 99494 denies
- 77424 99494 denies
- 77425 99494 denies
- 77427 99494 denies
- 77431 99494 denies
- 77432 99494 denies
- 77435 99494 denies
- 77469 99494 denies
- 77470 99494 denies
- 77520 99494 denies
- 77522 99494 denies
- 77523 99494 denies
- 77525 99494 denies
- 77600 99494 denies
- 77605 99494 denies
- 77610 99494 denies
- 77615 99494 denies
- 77620 99494 denies
- 77750 99494 denies
- 77761 99494 denies
- 77762 99494 denies
Showing 50 of 100. 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.