NCCI edits for CPT 64634
CMS lists 43 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 102 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0333T 0333T denies
- 0464T 0464T denies
- 36591 36591 denies
- 36592 36592 denies
- 69990 69990 denies
- 92652 92652 denies
- 92653 92653 denies
- 95822 95822 denies
- 95860 95860 denies
- 95861 95861 denies
- 95863 95863 denies
- 95864 95864 denies
- 95865 95865 denies
- 95866 95866 denies
- 95867 95867 denies
- 95868 95868 denies
- 95869 95869 denies
- 95870 95870 denies
- 95907 95907 denies
- 95908 95908 denies
- 95909 95909 denies
- 95910 95910 denies
- 95911 95911 denies
- 95912 95912 denies
- 95913 95913 denies
- 95925 95925 denies
- 95926 95926 denies
- 95927 95927 denies
- 95928 95928 denies
- 95929 95929 denies
- 95930 95930 denies
- 95933 95933 denies
- 95937 95937 denies
- 95938 95938 denies
- 95939 95939 denies
- 95940 95940 denies
- 96523 96523 denies
- 99155 99155 denies
- 99156 99156 denies
- 99157 99157 denies
- G0453 G0453 denies
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.
- 0596T 0596T denies
- 0597T 0597T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 20550 20550 denies
- 20551 20551 denies
- 20552 20552 denies
- 20553 20553 denies
- 20560 20560 denies
- 20561 20561 denies
- 36000 36000 denies
- 36400 36400 denies
- 36405 36405 denies
- 36406 36406 denies
- 36410 36410 denies
- 36420 36420 denies
- 36425 36425 denies
- 36430 36430 denies
- 36440 36440 denies
- 36600 36600 denies
- 36640 36640 denies
- 43752 43752 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 61650 61650 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
Showing 50 of 102. 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.