NCCI edits for CPT 11057
CMS lists 74 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 231 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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, and it is the Column Two code that is denied while Column One is paid.
- 0213T 0213T denies
- 0216T 0216T denies
- 11055 11055 denies
- 11056 11056 denies
- 36591 36591 denies
- 36592 36592 denies
- 62320 62320 denies
- 62321 62321 denies
- 62322 62322 denies
- 62323 62323 denies
- 62324 62324 denies
- 62325 62325 denies
- 62326 62326 denies
- 62327 62327 denies
- 64400 64400 denies
- 64405 64405 denies
- 64408 64408 denies
- 64415 64415 denies
- 64416 64416 denies
- 64417 64417 denies
- 64418 64418 denies
- 64420 64420 denies
- 64421 64421 denies
- 64425 64425 denies
- 64430 64430 denies
- 64435 64435 denies
- 64445 64445 denies
- 64446 64446 denies
- 64447 64447 denies
- 64448 64448 denies
- 64449 64449 denies
- 64451 64451 denies
- 64461 64461 denies
- 64462 64462 denies
- 64463 64463 denies
- 64466 64466 denies
- 64467 64467 denies
- 64468 64468 denies
- 64469 64469 denies
- 64473 64473 denies
- 64474 64474 denies
- 64479 64479 denies
- 64480 64480 denies
- 64483 64483 denies
- 64484 64484 denies
- 64486 64486 denies
- 64487 64487 denies
- 64488 64488 denies
- 64489 64489 denies
- 64490 64490 denies
Showing 50 of 74. 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.
- 0419T 11057 denies
- 0420T 11057 denies
- 0596T 0596T denies
- 0597T 0597T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10030 11057 denies
- 10060 11057 denies
- 10061 11057 denies
- 10120 11057 denies
- 10140 11057 denies
- 10160 11057 denies
- 11000 11057 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11102 11057 denies
- 11104 11057 denies
- 11106 11057 denies
- 11200 11057 denies
- 11300 11300 denies
- 11301 11301 denies
- 11305 11305 denies
- 11306 11306 denies
- 11308 11308 denies
- 11310 11310 denies
- 11401 11401 denies
- 11420 11420 denies
- 11421 11421 denies
- 11422 11422 denies
- 11441 11441 denies
- 11601 11601 denies
- 11720 11720 denies
- 11721 11721 denies
- 11740 11057 denies
- 11750 11057 denies
- 11755 11057 denies
- 11765 11057 denies
- 12001 12001 denies
- 12002 12002 denies
- 12004 12004 denies
- 12005 12005 denies
- 12006 12006 denies
- 12007 12007 denies
- 12011 12011 denies
- 12013 12013 denies
- 12014 12014 denies
- 12015 12015 denies
- 12016 12016 denies
Showing 50 of 231. 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.