NCCI edits for CPT 0264T
CMS lists 28 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 6 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 0263T 0264T denies
- 0265T 0265T denies
- 0901T 0901T denies
- 36591 36591 denies
- 36592 36592 denies
- 38204 38204 denies
- 38205 38205 denies
- 38206 38206 denies
- 38220 38220 denies
- 38221 38221 denies
- 38222 38222 denies
- 38225 38225 denies
- 38226 38226 denies
- 38227 38227 denies
- 38228 38228 denies
- 38230 38230 denies
- 38232 38232 denies
- 38240 38240 denies
- 38241 38241 denies
- 38242 38242 denies
- 38243 38243 denies
- 96523 96523 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.