NCCI edits for CPT 64420
CMS lists 5,695 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 494 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 64420 denies
- 0201T 64420 denies
- 0202T 64420 denies
- 0207T 64420 denies
- 0213T 64420 denies
- 0216T 64420 denies
- 0219T 64420 denies
- 0220T 64420 denies
- 0221T 64420 denies
- 0234T 64420 denies
- 0235T 64420 denies
- 0236T 64420 denies
- 0237T 64420 denies
- 0238T 64420 denies
- 0253T 64420 denies
- 0263T 64420 denies
- 0265T 64420 denies
- 0274T 64420 denies
- 0308T 64420 denies
- 0333T 0333T denies
- 0335T 64420 denies
- 0338T 64420 denies
- 0339T 64420 denies
- 0342T 64420 denies
- 0345T 64420 denies
- 0347T 64420 denies
- 0395T 64420 denies
- 0397T 64420 denies
- 0402T 64420 denies
- 0408T 64420 denies
- 0409T 64420 denies
- 0410T 64420 denies
- 0411T 64420 denies
- 0412T 64420 denies
- 0413T 64420 denies
- 0414T 64420 denies
- 0415T 64420 denies
- 0416T 64420 denies
- 0419T 64420 denies
- 0420T 64420 denies
- 0437T 64420 denies
- 0440T 64420 denies
- 0441T 64420 denies
- 0442T 64420 denies
- 0444T 64420 denies
- 0445T 64420 denies
- 0446T 64420 denies
- 0447T 64420 denies
Showing 50 of 5,695. 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 64420 denies
- 00102 64420 denies
- 00103 64420 denies
- 00104 64420 denies
- 00120 64420 denies
- 00124 64420 denies
- 00126 64420 denies
- 00140 64420 denies
- 00142 64420 denies
- 00144 64420 denies
- 00145 64420 denies
- 00147 64420 denies
- 00148 64420 denies
- 00160 64420 denies
- 00162 64420 denies
- 00164 64420 denies
- 00170 64420 denies
- 00172 64420 denies
- 00174 64420 denies
- 00176 64420 denies
- 00190 64420 denies
- 00192 64420 denies
- 00210 64420 denies
- 00211 64420 denies
- 00212 64420 denies
- 00214 64420 denies
- 00215 64420 denies
- 00216 64420 denies
- 00218 64420 denies
- 00220 64420 denies
- 00222 64420 denies
- 00300 64420 denies
- 00320 64420 denies
- 00322 64420 denies
- 00326 64420 denies
- 00350 64420 denies
- 00352 64420 denies
- 00400 64420 denies
- 00402 64420 denies
- 00404 64420 denies
- 00406 64420 denies
- 00410 64420 denies
- 00450 64420 denies
- 00454 64420 denies
- 00470 64420 denies
- 00472 64420 denies
- 00474 64420 denies
- 00500 64420 denies
- 00520 64420 denies
- 00522 64420 denies
Showing 50 of 494. 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.