NCCI edits for CPT 64405
CMS lists 5,687 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 473 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.
- 01991 01991 denies
- 01992 01992 denies
- 0200T 64405 denies
- 0201T 64405 denies
- 0202T 64405 denies
- 0207T 64405 denies
- 0213T 64405 denies
- 0216T 64405 denies
- 0219T 64405 denies
- 0220T 64405 denies
- 0221T 64405 denies
- 0234T 64405 denies
- 0235T 64405 denies
- 0236T 64405 denies
- 0237T 64405 denies
- 0238T 64405 denies
- 0253T 64405 denies
- 0263T 64405 denies
- 0265T 64405 denies
- 0274T 64405 denies
- 0308T 64405 denies
- 0333T 0333T denies
- 0335T 64405 denies
- 0338T 64405 denies
- 0339T 64405 denies
- 0342T 64405 denies
- 0345T 64405 denies
- 0347T 64405 denies
- 0395T 64405 denies
- 0397T 64405 denies
- 0402T 64405 denies
- 0408T 64405 denies
- 0409T 64405 denies
- 0410T 64405 denies
- 0411T 64405 denies
- 0412T 64405 denies
- 0413T 64405 denies
- 0414T 64405 denies
- 0415T 64405 denies
- 0416T 64405 denies
- 0419T 64405 denies
- 0420T 64405 denies
- 0437T 64405 denies
- 0440T 64405 denies
- 0441T 64405 denies
- 0442T 64405 denies
- 0444T 64405 denies
- 0445T 64405 denies
- 0446T 64405 denies
- 0447T 64405 denies
Showing 50 of 5,687. 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 64405 denies
- 00102 64405 denies
- 00103 64405 denies
- 00104 64405 denies
- 00120 64405 denies
- 00124 64405 denies
- 00126 64405 denies
- 00140 64405 denies
- 00142 64405 denies
- 00144 64405 denies
- 00145 64405 denies
- 00147 64405 denies
- 00148 64405 denies
- 00160 64405 denies
- 00162 64405 denies
- 00164 64405 denies
- 00170 64405 denies
- 00172 64405 denies
- 00174 64405 denies
- 00176 64405 denies
- 00190 64405 denies
- 00192 64405 denies
- 00210 64405 denies
- 00211 64405 denies
- 00212 64405 denies
- 00214 64405 denies
- 00215 64405 denies
- 00216 64405 denies
- 00218 64405 denies
- 00220 64405 denies
- 00222 64405 denies
- 00300 64405 denies
- 00320 64405 denies
- 00322 64405 denies
- 00326 64405 denies
- 00350 64405 denies
- 00352 64405 denies
- 00400 64405 denies
- 00402 64405 denies
- 00404 64405 denies
- 00406 64405 denies
- 00410 64405 denies
- 00450 64405 denies
- 00454 64405 denies
- 00470 64405 denies
- 00472 64405 denies
- 00474 64405 denies
- 00500 64405 denies
- 00520 64405 denies
- 00522 64405 denies
Showing 50 of 473. 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.