NCCI edits for CPT 64455
CMS lists 43 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 274 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
- 0333T 0333T denies
- 0464T 0464T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 36591 36591 denies
- 36592 36592 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 62267 64455 denies
- 62287 64455 denies
- 69990 69990 denies
- 92652 92652 denies
- 92653 92653 denies
- 95822 95822 denies
- 95925 95925 denies
- 95926 95926 denies
- 95927 95927 denies
- 95928 95928 denies
- 95929 95929 denies
- 95930 95930 denies
- 95933 95933 denies
- 95937 95937 denies
- 95938 95938 denies
- 95939 95939 denies
- 95940 95940 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- G0453 G0453 denies
- G0458 64455 denies
- G0471 G0471 denies
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.
- 01992 01992 denies
- 0490T 64455 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0718T 64455 denies
- 20527 64455 denies
- 20550 64455 denies
- 20551 64455 denies
- 20552 64455 denies
- 20553 64455 denies
- 20560 64455 denies
- 20561 64455 denies
- 28001 64455 denies
- 28002 64455 denies
- 28003 64455 denies
- 28005 64455 denies
- 28008 64455 denies
- 28010 64455 denies
- 28011 64455 denies
- 28022 64455 denies
- 28024 64455 denies
- 28035 64455 denies
- 28039 64455 denies
- 28041 64455 denies
- 28043 64455 denies
- 28045 64455 denies
- 28046 64455 denies
- 28047 64455 denies
- 28052 64455 denies
- 28054 64455 denies
- 28055 64455 denies
- 28060 64455 denies
- 28062 64455 denies
- 28072 64455 denies
- 28080 64455 denies
- 28086 64455 denies
- 28088 64455 denies
- 28090 64455 denies
- 28092 64455 denies
- 28103 64455 denies
- 28104 64455 denies
- 28106 64455 denies
- 28107 64455 denies
- 28108 64455 denies
- 28110 64455 denies
- 28111 64455 denies
- 28112 64455 denies
- 28113 64455 denies
- 28114 64455 denies
- 28116 64455 denies
Showing 50 of 274. 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.