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00640 Anes spine manipulation

What 00640 is

CMS fee schedule short descriptor: Anes spine manipulation.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 00640 (CY2026)

This code has no Physician Fee Schedule rate: Anesthesia service with no RVUs in the standard file. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Billed with 00640? These codes are bundled into it

00640 is a Column 1 code in 329 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
01996Dly hosp mgmt edrl rx admin1 - modifier may bypassCheck pair
0213TNjx paravert w/us cer/thor1 - modifier may bypassCheck pair
0216TNjx paravert w/us lumb/sac1 - modifier may bypassCheck pair
0333TVisual ep scr acuity auto0 - no modifier bypassCheck pair
0464TVisual ep test for glaucoma0 - no modifier bypassCheck pair
0632TPerq tcat us abltj nrv p-art1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx0 - no modifier bypassCheck pair
0709TId ca immntx each addl njx0 - no modifier bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
31505Diagnostic laryngoscopy1 - modifier may bypassCheck pair
31515Laryngoscopy for aspiration1 - modifier may bypassCheck pair
31527Laryngoscopy for treatment1 - modifier may bypassCheck pair
31622Dx bronchoscope/wash1 - modifier may bypassCheck pair
31634Bronch w/balloon occlusion1 - modifier may bypassCheck pair
31645Brnchsc w/ther aspir 1st1 - modifier may bypassCheck pair
31647Bronchial valve init insert1 - modifier may bypassCheck pair
36000Place needle in vein1 - modifier may bypassCheck pair
36010Place catheter in vein0 - no modifier bypassCheck pair
36011Place catheter in vein1 - modifier may bypassCheck pair
36012Place catheter in vein1 - modifier may bypassCheck pair
36013Place catheter in artery1 - modifier may bypassCheck pair
36014Place catheter in artery1 - modifier may bypassCheck pair
36015Place catheter in artery1 - modifier may bypassCheck pair
36400Vnpnxr<3yrs phy/qhp fem/jug1 - modifier may bypassCheck pair
36405Vnpnxr<3yrs phy/qhp scalp vn1 - modifier may bypassCheck pair
36406Vnpnxr<3yrs phy/qhp other vn1 - modifier may bypassCheck pair
36410Vnpnxr 3yr/> phy/qhp dx/ther1 - modifier may bypassCheck pair
36420Venipuncture cutdown < 1 yr1 - modifier may bypassCheck pair

Showing 30 of 329 column 2 codes. Use the pair checker for any specific combination.

00640 is bundled into these codes

00640 appears as a Column 2 code in 16 active edits. Reported with one of these Column 1 codes on the same date of service, 00640 is the code that denies.

Column 1 codeShort descriptionModifier indicator
22310Closed tx vert fx w/o manj0Check pair
22315Closed tx vert fx w/manj0Check pair
22505Manipulation of spine0Check pair
97602Wound(s) care non-selective0Check pair
97605Neg prs wnd ther dme<=50sqcm0Check pair
97606Neg prs wnd ther dme>50 sqcm0Check pair
97607Neg prs wnd thr ndme<=50sqcm0Check pair
97608Neg prs wnd ther ndme>50sqcm0Check pair
98925Osteopath manj 1-2 regions0Check pair
98926Osteopath manj 3-4 regions0Check pair
98927Osteopath manj 5-6 regions0Check pair
98928Osteopath manj 7-8 regions0Check pair
98929Osteopath manj 9-10 regions0Check pair
98940Chiropract manj 1-2 regions0Check pair
98941Chiropract manj 3-4 regions0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.