NCCI edits for CPT 64474
CMS lists 102 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 5,978 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 64474 denies
- 0664T 64474 denies
- 10030 64474 denies
- 10035 64474 denies
- 10060 64474 denies
- 10061 64474 denies
- 10120 64474 denies
- 10121 64474 denies
- 10140 64474 denies
- 10160 64474 denies
- 10180 64474 denies
- 11000 64474 denies
- 11004 64474 denies
- 11005 64474 denies
- 11006 64474 denies
- 11010 64474 denies
- 11011 64474 denies
- 11012 64474 denies
- 11042 64474 denies
- 11043 64474 denies
- 11044 64474 denies
- 11055 64474 denies
- 11056 64474 denies
- 11057 64474 denies
- 11102 64474 denies
- 11104 64474 denies
- 11106 64474 denies
- 11200 64474 denies
- 11920 64474 denies
- 11921 64474 denies
- 11950 64474 denies
- 11951 64474 denies
- 11952 64474 denies
- 11954 64474 denies
- 13160 64474 denies
- 15780 64474 denies
- 15781 64474 denies
- 15782 64474 denies
- 15783 64474 denies
- 15786 64474 denies
- 15788 64474 denies
- 15789 64474 denies
- 15792 64474 denies
- 15793 64474 denies
- 15820 64474 denies
- 15821 64474 denies
- 15822 64474 denies
- 15824 64474 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 64474 denies
- 00102 64474 denies
- 00103 64474 denies
- 00104 64474 denies
- 00120 64474 denies
- 00124 64474 denies
- 00126 64474 denies
- 00140 64474 denies
- 00142 64474 denies
- 00144 64474 denies
- 00145 64474 denies
- 00147 64474 denies
- 00148 64474 denies
- 00160 64474 denies
- 00162 64474 denies
- 00164 64474 denies
- 00170 64474 denies
- 00172 64474 denies
- 00174 64474 denies
- 00176 64474 denies
- 00190 64474 denies
- 00192 64474 denies
- 00210 64474 denies
- 00211 64474 denies
- 00212 64474 denies
- 00214 64474 denies
- 00215 64474 denies
- 00216 64474 denies
- 00218 64474 denies
- 00220 64474 denies
- 00222 64474 denies
- 00300 64474 denies
- 00320 64474 denies
- 00322 64474 denies
- 00326 64474 denies
- 00350 64474 denies
- 00352 64474 denies
- 00400 64474 denies
- 00402 64474 denies
- 00404 64474 denies
- 00406 64474 denies
- 00410 64474 denies
- 00450 64474 denies
- 00454 64474 denies
- 00470 64474 denies
- 00472 64474 denies
- 00474 64474 denies
- 00500 64474 denies
- 00520 64474 denies
- 00522 64474 denies
Showing 50 of 5,978. 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.