NCCI edits for CPT 64469
CMS lists 823 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,186 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
- 0220T 64469 denies
- 0345T 64469 denies
- 0408T 64469 denies
- 0409T 64469 denies
- 0410T 64469 denies
- 0411T 64469 denies
- 0412T 64469 denies
- 0413T 64469 denies
- 0414T 64469 denies
- 0415T 64469 denies
- 0416T 64469 denies
- 0515T 64469 denies
- 0516T 64469 denies
- 0517T 64469 denies
- 0518T 64469 denies
- 0519T 64469 denies
- 0520T 64469 denies
- 0525T 64469 denies
- 0526T 64469 denies
- 0527T 64469 denies
- 0530T 64469 denies
- 0531T 64469 denies
- 0532T 64469 denies
- 0543T 0543T denies
- 0544T 0544T denies
- 0569T 0569T denies
- 0571T 0571T denies
- 0572T 0572T denies
- 0573T 0573T denies
- 0574T 0574T denies
- 0577T 64469 denies
- 0580T 0580T denies
- 0581T 0581T denies
- 0613T 64469 denies
- 0614T 64469 denies
- 0632T 64469 denies
- 0643T 64469 denies
- 0644T 64469 denies
- 0645T 64469 denies
- 0646T 64469 denies
- 0652T 64469 denies
- 0653T 64469 denies
- 0654T 64469 denies
- 0664T 64469 denies
- 0695T 64469 denies
- 0696T 64469 denies
- 0745T 64469 denies
- 0746T 64469 denies
Showing 50 of 823. 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 64469 denies
- 00102 64469 denies
- 00103 64469 denies
- 00104 64469 denies
- 00120 64469 denies
- 00124 64469 denies
- 00126 64469 denies
- 00140 64469 denies
- 00142 64469 denies
- 00144 64469 denies
- 00145 64469 denies
- 00147 64469 denies
- 00148 64469 denies
- 00160 64469 denies
- 00162 64469 denies
- 00164 64469 denies
- 00170 64469 denies
- 00172 64469 denies
- 00174 64469 denies
- 00176 64469 denies
- 00190 64469 denies
- 00192 64469 denies
- 00210 64469 denies
- 00211 64469 denies
- 00212 64469 denies
- 00214 64469 denies
- 00215 64469 denies
- 00216 64469 denies
- 00218 64469 denies
- 00220 64469 denies
- 00222 64469 denies
- 00300 64469 denies
- 00320 64469 denies
- 00322 64469 denies
- 00326 64469 denies
- 00350 64469 denies
- 00352 64469 denies
- 00400 64469 denies
- 00402 64469 denies
- 00404 64469 denies
- 00406 64469 denies
- 00410 64469 denies
- 00450 64469 denies
- 00454 64469 denies
- 00470 64469 denies
- 00472 64469 denies
- 00474 64469 denies
- 00500 64469 denies
- 00520 64469 denies
- 00522 64469 denies
Showing 50 of 5,186. 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.