NCCI edits for CPT 64480
CMS lists 5,518 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 79 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 4 units 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
- 0333T 0333T denies
- 0437T 64480 denies
- 0440T 64480 denies
- 0441T 64480 denies
- 0442T 64480 denies
- 0444T 64480 denies
- 0445T 64480 denies
- 0446T 64480 denies
- 0447T 64480 denies
- 0448T 64480 denies
- 0449T 64480 denies
- 0450T 64480 denies
- 0464T 0464T denies
- 0474T 64480 denies
- 0479T 64480 denies
- 0480T 64480 denies
- 0481T 64480 denies
- 0483T 64480 denies
- 0484T 64480 denies
- 0489T 64480 denies
- 0490T 64480 denies
- 0505T 64480 denies
- 0510T 64480 denies
- 0511T 64480 denies
- 0512T 64480 denies
- 0513T 64480 denies
- 0515T 64480 denies
- 0516T 64480 denies
- 0517T 64480 denies
- 0518T 64480 denies
- 0519T 64480 denies
- 0520T 64480 denies
- 0523T 64480 denies
- 0524T 64480 denies
- 0543T 0543T denies
- 0544T 0544T denies
- 0545T 64480 denies
- 0552T 64480 denies
- 0563T 64480 denies
- 0565T 64480 denies
- 0566T 64480 denies
- 0569T 0569T denies
- 0570T 0570T denies
- 0571T 0571T denies
- 0572T 0572T denies
- 0573T 0573T denies
- 0574T 0574T denies
- 0577T 64480 denies
Showing 50 of 5,518. 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.
- 01173 64480 denies
- 01958 64480 denies
- 20552 64480 denies
- 20553 64480 denies
- 20610 64480 denies
- 22511 64480 denies
- 22513 64480 denies
- 22514 64480 denies
- 36590 64480 denies
- 52284 64480 denies
- 64451 64480 denies
- 64454 64480 denies
- 76000 76000 denies
- 76380 76380 denies
- 76800 76800 denies
- 76942 76942 denies
- 76998 76998 denies
- 77002 77002 denies
- 77003 77003 denies
- 77012 77012 denies
- 92972 64480 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 95860 95860 denies
- 95861 95861 denies
- 95863 95863 denies
- 95864 95864 denies
- 95865 95865 denies
- 95866 95866 denies
- 95869 95869 denies
- 95907 95907 denies
- 95908 95908 denies
- 95909 95909 denies
- 95910 95910 denies
- 95911 95911 denies
- 95912 95912 denies
- 95913 95913 denies
- 97012 64480 denies
- 97016 64480 denies
- 97018 64480 denies
- 97022 64480 denies
- 97024 64480 denies
- 97026 64480 denies
- 97028 64480 denies
- 97032 64480 denies
- 97033 64480 denies
Showing 50 of 79. 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.