NCCI edits for CPT 64473
CMS lists 102 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,976 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
- 0395T 64473 denies
- 0664T 64473 denies
- 10030 64473 denies
- 10035 64473 denies
- 10060 64473 denies
- 10061 64473 denies
- 10120 64473 denies
- 10121 64473 denies
- 10140 64473 denies
- 10160 64473 denies
- 10180 64473 denies
- 11000 64473 denies
- 11004 64473 denies
- 11005 64473 denies
- 11006 64473 denies
- 11010 64473 denies
- 11011 64473 denies
- 11012 64473 denies
- 11042 64473 denies
- 11043 64473 denies
- 11044 64473 denies
- 11055 64473 denies
- 11056 64473 denies
- 11057 64473 denies
- 11102 64473 denies
- 11104 64473 denies
- 11106 64473 denies
- 11200 64473 denies
- 11920 64473 denies
- 11921 64473 denies
- 11950 64473 denies
- 11951 64473 denies
- 11952 64473 denies
- 11954 64473 denies
- 13160 64473 denies
- 15780 64473 denies
- 15781 64473 denies
- 15782 64473 denies
- 15783 64473 denies
- 15786 64473 denies
- 15788 64473 denies
- 15789 64473 denies
- 15792 64473 denies
- 15793 64473 denies
- 15820 64473 denies
- 15821 64473 denies
- 15822 64473 denies
- 15824 64473 denies
Showing 50 of 102. 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 64473 denies
- 00102 64473 denies
- 00103 64473 denies
- 00104 64473 denies
- 00120 64473 denies
- 00124 64473 denies
- 00126 64473 denies
- 00140 64473 denies
- 00142 64473 denies
- 00144 64473 denies
- 00145 64473 denies
- 00147 64473 denies
- 00148 64473 denies
- 00160 64473 denies
- 00162 64473 denies
- 00164 64473 denies
- 00170 64473 denies
- 00172 64473 denies
- 00174 64473 denies
- 00176 64473 denies
- 00190 64473 denies
- 00192 64473 denies
- 00210 64473 denies
- 00211 64473 denies
- 00212 64473 denies
- 00214 64473 denies
- 00215 64473 denies
- 00216 64473 denies
- 00218 64473 denies
- 00220 64473 denies
- 00222 64473 denies
- 00300 64473 denies
- 00320 64473 denies
- 00322 64473 denies
- 00326 64473 denies
- 00350 64473 denies
- 00352 64473 denies
- 00400 64473 denies
- 00402 64473 denies
- 00404 64473 denies
- 00406 64473 denies
- 00410 64473 denies
- 00450 64473 denies
- 00454 64473 denies
- 00470 64473 denies
- 00472 64473 denies
- 00474 64473 denies
- 00500 64473 denies
- 00520 64473 denies
- 00522 64473 denies
Showing 50 of 5,976. 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.