NCCI edits for CPT 96164
CMS lists 176 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 16 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.
- 0362T 0362T denies
- 0373T 0373T denies
- 0591T 96164 denies
- 0592T 96164 denies
- 0593T 0593T denies
- 0890T 0890T denies
- 0891T 0891T denies
- 0892T 0892T denies
- 36591 36591 denies
- 36592 36592 denies
- 77427 96164 denies
- 77431 96164 denies
- 77432 96164 denies
- 77435 96164 denies
- 77469 96164 denies
- 77470 96164 denies
- 90785 96164 denies
- 90791 96164 denies
- 90792 96164 denies
- 90832 96164 denies
- 90833 96164 denies
- 90834 96164 denies
- 90836 96164 denies
- 90837 96164 denies
- 90838 96164 denies
- 90839 96164 denies
- 90840 96164 denies
- 90845 96164 denies
- 90846 96164 denies
- 90847 96164 denies
- 90849 96164 denies
- 90853 96164 denies
- 90863 96164 denies
- 90865 96164 denies
- 90867 90867 denies
- 90868 90868 denies
- 90869 90869 denies
- 90870 96164 denies
- 90875 96164 denies
- 90876 96164 denies
- 90880 96164 denies
- 90882 90882 denies
- 90885 96164 denies
- 90887 96164 denies
- 90889 90889 denies
- 92002 96164 denies
- 92004 96164 denies
- 92012 96164 denies
- 92014 96164 denies
- 96156 96164 denies
Showing 50 of 176. 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.
- 0403T 0403T denies
- 0488T 0488T denies
- 0889T 0889T denies
- 99466 96164 denies
- 99485 96164 denies
- 99486 96164 denies
- G0380 96164 denies
- G0381 96164 denies
- G0382 96164 denies
- G0383 96164 denies
- G0384 96164 denies
- G0444 G0444 denies
- G0445 G0445 denies
- G0446 G0446 denies
- G0447 G0447 denies
- G0473 G0473 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.