NCCI edits for CPT 76642
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 21 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.
- 0351T 76642 denies
- 0353T 76642 denies
- 0422T 76642 denies
- 0581T 0581T denies
- 0600T 0600T denies
- 0601T 0601T denies
- 0689T 0689T denies
- 76641 76642 denies
- 76882 76882 denies
- 76942 76942 denies
- 76978 76642 denies
- 76979 76642 denies
- 76981 76642 denies
- 76982 76642 denies
- 76983 76983 denies
- 76998 76998 denies
- 77767 76642 denies
- 77768 76642 denies
- 77770 76642 denies
- 77771 76642 denies
- 77772 76642 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.