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NCCI edits for HCPCS J1642

CMS lists 0 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 274 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.

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Medically Unlikely Edit (MUE) Copy link

The published MUE is 100 units per patient per date of service.

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.

Showing 50 of 274. 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.