NCCI edits for CPT 64461
CMS lists 5,728 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 497 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 64461 denies
- 0201T 64461 denies
- 0202T 64461 denies
- 0207T 64461 denies
- 0219T 64461 denies
- 0220T 64461 denies
- 0221T 64461 denies
- 0234T 64461 denies
- 0235T 64461 denies
- 0236T 64461 denies
- 0237T 64461 denies
- 0238T 64461 denies
- 0253T 64461 denies
- 0263T 64461 denies
- 0265T 64461 denies
- 0274T 64461 denies
- 0308T 64461 denies
- 0333T 0333T denies
- 0335T 64461 denies
- 0338T 64461 denies
- 0339T 64461 denies
- 0342T 64461 denies
- 0345T 64461 denies
- 0347T 64461 denies
- 0397T 64461 denies
- 0402T 64461 denies
- 0408T 64461 denies
- 0409T 64461 denies
- 0410T 64461 denies
- 0411T 64461 denies
- 0412T 64461 denies
- 0413T 64461 denies
- 0414T 64461 denies
- 0415T 64461 denies
- 0416T 64461 denies
- 0419T 64461 denies
- 0420T 64461 denies
- 0437T 64461 denies
- 0440T 64461 denies
- 0441T 64461 denies
- 0442T 64461 denies
- 0444T 64461 denies
- 0445T 64461 denies
- 0446T 64461 denies
- 0447T 64461 denies
- 0448T 64461 denies
- 0449T 64461 denies
- 0450T 64461 denies
Showing 50 of 5,728. 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 64461 denies
- 00102 64461 denies
- 00103 64461 denies
- 00104 64461 denies
- 00120 64461 denies
- 00124 64461 denies
- 00126 64461 denies
- 00140 64461 denies
- 00142 64461 denies
- 00144 64461 denies
- 00145 64461 denies
- 00147 64461 denies
- 00148 64461 denies
- 00160 64461 denies
- 00162 64461 denies
- 00164 64461 denies
- 00170 64461 denies
- 00172 64461 denies
- 00174 64461 denies
- 00176 64461 denies
- 00190 64461 denies
- 00192 64461 denies
- 00210 64461 denies
- 00211 64461 denies
- 00212 64461 denies
- 00214 64461 denies
- 00215 64461 denies
- 00216 64461 denies
- 00218 64461 denies
- 00220 64461 denies
- 00222 64461 denies
- 00300 64461 denies
- 00320 64461 denies
- 00322 64461 denies
- 00326 64461 denies
- 00350 64461 denies
- 00352 64461 denies
- 00400 64461 denies
- 00402 64461 denies
- 00404 64461 denies
- 00406 64461 denies
- 00410 64461 denies
- 00450 64461 denies
- 00454 64461 denies
- 00470 64461 denies
- 00472 64461 denies
- 00474 64461 denies
- 00500 64461 denies
- 00520 64461 denies
- 00522 64461 denies
Showing 50 of 497. 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.