NCCI edits for CPT 38220
CMS lists 191 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 67 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.
- 01112 01112 denies
- 01120 01120 denies
- 0263T 38220 denies
- 0264T 38220 denies
- 0265T 38220 denies
- 0656T 38220 denies
- 0657T 38220 denies
- 20220 38220 denies
- 20225 38220 denies
- 20240 38220 denies
- 20245 38220 denies
- 20250 38220 denies
- 20251 38220 denies
- 20900 38220 denies
- 20902 38220 denies
- 20937 38220 denies
- 20938 38220 denies
- 22100 38220 denies
- 22101 38220 denies
- 22102 38220 denies
- 22103 38220 denies
- 22110 38220 denies
- 22112 38220 denies
- 22114 38220 denies
- 22116 38220 denies
- 22206 38220 denies
- 22207 38220 denies
- 22208 38220 denies
- 22210 38220 denies
- 22212 38220 denies
- 22214 38220 denies
- 22216 38220 denies
- 22220 38220 denies
- 22222 38220 denies
- 22224 38220 denies
- 22226 38220 denies
- 22310 38220 denies
- 22315 38220 denies
- 22318 38220 denies
- 22319 38220 denies
- 22325 38220 denies
- 22326 38220 denies
- 22327 38220 denies
- 22328 38220 denies
- 22532 38220 denies
- 22533 38220 denies
- 22534 38220 denies
- 22548 38220 denies
- 22551 38220 denies
- 22552 38220 denies
Showing 50 of 191. 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.
- 0095T 38220 denies
- 0098T 38220 denies
- 0164T 38220 denies
- 0165T 38220 denies
- 0200T 38220 denies
- 0201T 38220 denies
- 0202T 38220 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0219T 38220 denies
- 0220T 38220 denies
- 0221T 38220 denies
- 0222T 38220 denies
- 0232T 0232T denies
- 0274T 38220 denies
- 0481T 0481T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0719T 38220 denies
- 0901T 38220 denies
- 10005 10005 denies
- 10007 10007 denies
- 10009 10009 denies
- 10011 10011 denies
- 10021 10021 denies
- 20939 20939 denies
- 22510 38220 denies
- 22511 38220 denies
- 22512 38220 denies
- 22513 38220 denies
- 22514 38220 denies
- 22515 38220 denies
- 36000 36000 denies
- 36410 36410 denies
- 38221 38220 denies
- 38222 38220 denies
- 61650 61650 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64450 64450 denies
- 64454 64454 denies
- 64473 64473 denies
- 64474 64474 denies
- 64486 64486 denies
- 64487 64487 denies
Showing 50 of 67. 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.