NCCI edits for CPT 64555
CMS lists 121 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 448 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 2 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0333T 0333T denies
- 0464T 0464T denies
- 0587T 0587T denies
- 0588T 0588T denies
- 0589T 0589T denies
- 0590T 0590T denies
- 0788T 0788T denies
- 0789T 0789T denies
- 0816T 64555 denies
- 0817T 64555 denies
- 0818T 64555 denies
- 0819T 64555 denies
- 36591 36591 denies
- 36592 36592 denies
- 61850 61850 denies
- 61860 61860 denies
- 61863 64555 denies
- 61867 64555 denies
- 61880 61880 denies
- 61885 61885 denies
- 61886 61886 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64450 64450 denies
- 64451 64451 denies
Showing 50 of 121. 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 64555 denies
- 00102 64555 denies
- 00103 64555 denies
- 00104 64555 denies
- 00120 64555 denies
- 00124 64555 denies
- 00126 64555 denies
- 00140 64555 denies
- 00142 64555 denies
- 00144 64555 denies
- 00145 64555 denies
- 00147 64555 denies
- 00148 64555 denies
- 00160 64555 denies
- 00162 64555 denies
- 00164 64555 denies
- 00170 64555 denies
- 00172 64555 denies
- 00174 64555 denies
- 00176 64555 denies
- 00190 64555 denies
- 00192 64555 denies
- 00210 64555 denies
- 00211 64555 denies
- 00212 64555 denies
- 00214 64555 denies
- 00215 64555 denies
- 00216 64555 denies
- 00218 64555 denies
- 00220 64555 denies
- 00222 64555 denies
- 00300 64555 denies
- 00320 64555 denies
- 00322 64555 denies
- 00326 64555 denies
- 00350 64555 denies
- 00352 64555 denies
- 00400 64555 denies
- 00402 64555 denies
- 00404 64555 denies
- 00406 64555 denies
- 00410 64555 denies
- 00450 64555 denies
- 00454 64555 denies
- 00470 64555 denies
- 00472 64555 denies
- 00474 64555 denies
- 00500 64555 denies
- 00520 64555 denies
- 00522 64555 denies
Showing 50 of 448. 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.