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: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One 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.