NCCI edits for CPT 0464T
CMS lists 686 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 16 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.
- 00104 0464T denies
- 00210 0464T denies
- 00211 0464T denies
- 00212 0464T denies
- 00214 0464T denies
- 00215 0464T denies
- 00216 0464T denies
- 00218 0464T denies
- 00220 0464T denies
- 00222 0464T denies
- 00300 0464T denies
- 00400 0464T denies
- 00600 0464T denies
- 00604 0464T denies
- 00620 0464T denies
- 00625 0464T denies
- 00626 0464T denies
- 00630 0464T denies
- 00632 0464T denies
- 00635 0464T denies
- 00640 0464T denies
- 00670 0464T denies
- 00700 0464T denies
- 00730 0464T denies
- 00800 0464T denies
- 01250 0464T denies
- 01320 0464T denies
- 01470 0464T denies
- 01610 0464T denies
- 01710 0464T denies
- 01810 0464T denies
- 01924 0464T denies
- 01925 0464T denies
- 01926 0464T denies
- 01930 0464T denies
- 01932 0464T denies
- 01933 0464T denies
- 01937 0464T denies
- 01938 0464T denies
- 01939 0464T denies
- 01940 0464T denies
- 01941 0464T denies
- 01942 0464T denies
- 01991 0464T denies
- 01992 0464T denies
- 0200T 0464T denies
- 0201T 0464T denies
- 0202T 0464T denies
- 0213T 0464T denies
- 0214T 0464T denies
Showing 50 of 686. 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.
- 0889T 0464T denies
- 0947T 0464T denies
- 33280 0464T denies
- 51784 0464T denies
- 51785 0464T denies
- 64466 0464T denies
- 64467 0464T denies
- 64468 0464T denies
- 64469 0464T denies
- 64473 0464T denies
- 64474 0464T denies
- 64615 0464T denies
- 90867 0464T denies
- 90868 0464T denies
- 90869 0464T denies
- 96020 0464T denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.