NCCI edits for CPT 67225
CMS lists 4 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 36 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.
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.
- 0213T 0213T denies
- 0216T 0216T denies
- 36000 36000 denies
- 36400 36400 denies
- 36410 36410 denies
- 36425 36425 denies
- 61650 61650 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64450 64450 denies
- 64454 64454 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
- 64493 64493 denies
- 67005 67005 denies
- 67010 67010 denies
- 67015 67015 denies
- 67039 67225 denies
- 67040 67225 denies
- 67105 67225 denies
- 67107 67225 denies
- 67108 67225 denies
- 67145 67145 denies
- 67210 67210 denies
- 67228 67225 denies
- 67500 67500 denies
- 92201 92201 denies
- 92202 92202 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.