NCCI edits for CPT 64400
CMS lists 5,686 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 470 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 4 units 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.
- 01991 01991 denies
- 01992 01992 denies
- 0200T 64400 denies
- 0201T 64400 denies
- 0202T 64400 denies
- 0207T 64400 denies
- 0213T 64400 denies
- 0216T 64400 denies
- 0219T 64400 denies
- 0220T 64400 denies
- 0221T 64400 denies
- 0234T 64400 denies
- 0235T 64400 denies
- 0236T 64400 denies
- 0237T 64400 denies
- 0238T 64400 denies
- 0253T 64400 denies
- 0263T 64400 denies
- 0265T 64400 denies
- 0274T 64400 denies
- 0308T 64400 denies
- 0333T 0333T denies
- 0335T 64400 denies
- 0338T 64400 denies
- 0339T 64400 denies
- 0342T 64400 denies
- 0345T 64400 denies
- 0347T 64400 denies
- 0395T 64400 denies
- 0397T 64400 denies
- 0402T 64400 denies
- 0408T 64400 denies
- 0409T 64400 denies
- 0410T 64400 denies
- 0411T 64400 denies
- 0412T 64400 denies
- 0413T 64400 denies
- 0414T 64400 denies
- 0415T 64400 denies
- 0416T 64400 denies
- 0419T 64400 denies
- 0420T 64400 denies
- 0437T 64400 denies
- 0440T 64400 denies
- 0441T 64400 denies
- 0442T 64400 denies
- 0444T 64400 denies
- 0445T 64400 denies
- 0446T 64400 denies
- 0447T 64400 denies
Showing 50 of 5,686. 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.
- 00100 64400 denies
- 00102 64400 denies
- 00103 64400 denies
- 00104 64400 denies
- 00120 64400 denies
- 00124 64400 denies
- 00126 64400 denies
- 00140 64400 denies
- 00144 64400 denies
- 00145 64400 denies
- 00147 64400 denies
- 00148 64400 denies
- 00160 64400 denies
- 00162 64400 denies
- 00164 64400 denies
- 00170 64400 denies
- 00172 64400 denies
- 00174 64400 denies
- 00176 64400 denies
- 00190 64400 denies
- 00192 64400 denies
- 00210 64400 denies
- 00211 64400 denies
- 00212 64400 denies
- 00214 64400 denies
- 00215 64400 denies
- 00216 64400 denies
- 00218 64400 denies
- 00220 64400 denies
- 00222 64400 denies
- 00300 64400 denies
- 00320 64400 denies
- 00322 64400 denies
- 00326 64400 denies
- 00350 64400 denies
- 00352 64400 denies
- 00400 64400 denies
- 00402 64400 denies
- 00404 64400 denies
- 00406 64400 denies
- 00410 64400 denies
- 00450 64400 denies
- 00454 64400 denies
- 00470 64400 denies
- 00472 64400 denies
- 00474 64400 denies
- 00500 64400 denies
- 00520 64400 denies
- 00522 64400 denies
- 00524 64400 denies
Showing 50 of 470. 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.