NCCI edits for CPT 95864
CMS lists 688 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 57 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.
- 00104 95864 denies
- 00210 95864 denies
- 00211 95864 denies
- 00212 95864 denies
- 00214 95864 denies
- 00215 95864 denies
- 00216 95864 denies
- 00218 95864 denies
- 00220 95864 denies
- 00222 95864 denies
- 00300 95864 denies
- 00400 95864 denies
- 00600 95864 denies
- 00604 95864 denies
- 00620 95864 denies
- 00625 95864 denies
- 00626 95864 denies
- 00630 95864 denies
- 00632 95864 denies
- 00635 95864 denies
- 00640 95864 denies
- 00670 95864 denies
- 00700 95864 denies
- 00730 95864 denies
- 00800 95864 denies
- 01250 95864 denies
- 01320 95864 denies
- 01470 95864 denies
- 01610 95864 denies
- 01710 95864 denies
- 01810 95864 denies
- 01924 95864 denies
- 01925 95864 denies
- 01926 95864 denies
- 01930 95864 denies
- 01932 95864 denies
- 01933 95864 denies
- 01937 95864 denies
- 01938 95864 denies
- 01939 95864 denies
- 01940 95864 denies
- 01941 95864 denies
- 01942 95864 denies
- 01991 95864 denies
- 01992 95864 denies
- 0200T 95864 denies
- 0201T 95864 denies
- 0202T 95864 denies
- 0213T 95864 denies
- 0214T 95864 denies
Showing 50 of 688. 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.
- 0947T 95864 denies
- 33288 95864 denies
- 64400 95864 denies
- 64405 95864 denies
- 64408 95864 denies
- 64415 95864 denies
- 64416 95864 denies
- 64417 95864 denies
- 64418 95864 denies
- 64420 95864 denies
- 64421 95864 denies
- 64425 95864 denies
- 64430 95864 denies
- 64435 95864 denies
- 64445 95864 denies
- 64446 95864 denies
- 64447 95864 denies
- 64448 95864 denies
- 64449 95864 denies
- 64450 95864 denies
- 64451 95864 denies
- 64454 95864 denies
- 64455 95864 denies
- 64479 95864 denies
- 64480 95864 denies
- 64483 95864 denies
- 64484 95864 denies
- 64490 95864 denies
- 64491 95864 denies
- 64492 95864 denies
- 64493 95864 denies
- 64494 95864 denies
- 64495 95864 denies
- 64505 95864 denies
- 64510 95864 denies
- 64517 95864 denies
- 64520 95864 denies
- 64530 95864 denies
- 64615 95864 denies
- 64616 95864 denies
- 90912 95864 denies
- 90913 95864 denies
- 95782 95864 denies
- 95783 95864 denies
- 95808 95864 denies
- 95810 95864 denies
- 95811 95864 denies
- 95860 95860 denies
- 95861 95861 denies
- 95863 95863 denies
Showing 50 of 57. 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.