NCCI edits for CPT 64490
CMS lists 5,625 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 643 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
- 0200T 64490 denies
- 0201T 64490 denies
- 0202T 64490 denies
- 0207T 64490 denies
- 0213T 0213T denies
- 0214T 0214T denies
- 0215T 0215T denies
- 0216T 0216T denies
- 0217T 0217T denies
- 0218T 0218T denies
- 0219T 64490 denies
- 0220T 64490 denies
- 0221T 64490 denies
- 0234T 64490 denies
- 0235T 64490 denies
- 0236T 64490 denies
- 0237T 64490 denies
- 0238T 64490 denies
- 0253T 64490 denies
- 0263T 64490 denies
- 0265T 64490 denies
- 0274T 64490 denies
- 0308T 64490 denies
- 0333T 0333T denies
- 0335T 64490 denies
- 0338T 64490 denies
- 0339T 64490 denies
- 0342T 64490 denies
- 0345T 64490 denies
- 0347T 64490 denies
- 0395T 64490 denies
- 0397T 64490 denies
- 0402T 64490 denies
- 0408T 64490 denies
- 0409T 64490 denies
- 0410T 64490 denies
- 0411T 64490 denies
- 0412T 64490 denies
- 0413T 64490 denies
- 0414T 64490 denies
- 0415T 64490 denies
- 0416T 64490 denies
- 0419T 64490 denies
- 0420T 64490 denies
- 0437T 64490 denies
- 0440T 64490 denies
- 0441T 64490 denies
- 0442T 64490 denies
Showing 50 of 5,625. 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 64490 denies
- 00102 64490 denies
- 00103 64490 denies
- 00104 64490 denies
- 00120 64490 denies
- 00124 64490 denies
- 00126 64490 denies
- 00140 64490 denies
- 00142 64490 denies
- 00144 64490 denies
- 00145 64490 denies
- 00147 64490 denies
- 00148 64490 denies
- 00160 64490 denies
- 00162 64490 denies
- 00164 64490 denies
- 00170 64490 denies
- 00172 64490 denies
- 00174 64490 denies
- 00176 64490 denies
- 00190 64490 denies
- 00192 64490 denies
- 00210 64490 denies
- 00211 64490 denies
- 00212 64490 denies
- 00214 64490 denies
- 00215 64490 denies
- 00216 64490 denies
- 00218 64490 denies
- 00220 64490 denies
- 00222 64490 denies
- 00300 64490 denies
- 00320 64490 denies
- 00322 64490 denies
- 00326 64490 denies
- 00350 64490 denies
- 00352 64490 denies
- 00400 64490 denies
- 00402 64490 denies
- 00404 64490 denies
- 00406 64490 denies
- 00410 64490 denies
- 00450 64490 denies
- 00454 64490 denies
- 00470 64490 denies
- 00472 64490 denies
- 00474 64490 denies
- 00500 64490 denies
- 00520 64490 denies
- 00522 64490 denies
Showing 50 of 643. 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.