NCCI edits for A9516
Code page: https://localishealth.com/hcpcs/A9516
NCCI release: 2026 D
Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0)
0868T    0868T is Column One, A9516 is Column Two—A9516 denies
38792    38792 is Column One, A9516 is Column Two—A9516 denies
78015    78015 is Column One, A9516 is Column Two—A9516 denies
78016    78016 is Column One, A9516 is Column Two—A9516 denies
78195    78195 is Column One, A9516 is Column Two—A9516 denies
78215    78215 is Column One, A9516 is Column Two—A9516 denies
78226    78226 is Column One, A9516 is Column Two—A9516 denies
78227    78227 is Column One, A9516 is Column Two—A9516 denies
78264    78264 is Column One, A9516 is Column Two—A9516 denies
78265    78265 is Column One, A9516 is Column Two—A9516 denies
78266    78266 is Column One, A9516 is Column Two—A9516 denies
78278    78278 is Column One, A9516 is Column Two—A9516 denies
78300    78300 is Column One, A9516 is Column Two—A9516 denies
78305    78305 is Column One, A9516 is Column Two—A9516 denies
78306    78306 is Column One, A9516 is Column Two—A9516 denies
78315    78315 is Column One, A9516 is Column Two—A9516 denies
78428    78428 is Column One, A9516 is Column Two—A9516 denies
78451    78451 is Column One, A9516 is Column Two—A9516 denies
78452    78452 is Column One, A9516 is Column Two—A9516 denies
78454    78454 is Column One, A9516 is Column Two—A9516 denies
78469    78469 is Column One, A9516 is Column Two—A9516 denies
78472    78472 is Column One, A9516 is Column Two—A9516 denies
78492    78492 is Column One, A9516 is Column Two—A9516 denies
78580    78580 is Column One, A9516 is Column Two—A9516 denies
78582    78582 is Column One, A9516 is Column Two—A9516 denies
78598    78598 is Column One, A9516 is Column Two—A9516 denies
78630    78630 is Column One, A9516 is Column Two—A9516 denies
78707    78707 is Column One, A9516 is Column Two—A9516 denies
78708    78708 is Column One, A9516 is Column Two—A9516 denies
78804    78804 is Column One, A9516 is Column Two—A9516 denies
78812    78812 is Column One, A9516 is Column Two—A9516 denies
78815    78815 is Column One, A9516 is Column Two—A9516 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
78018    78018 is Column One, A9516 is Column Two—A9516 denies
78802    78802 is Column One, A9516 is Column Two—A9516 denies
78803    78803 is Column One, A9516 is Column Two—A9516 denies

MUE units per patient per date of service: 4