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: 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.
- 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.