NCCI edits for CPT 57100
CMS lists 151 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 222 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 2 units 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.
- 00940 00940 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0672T 57100 denies
- 36591 36591 denies
- 36592 36592 denies
- 51701 51701 denies
- 51702 51702 denies
- 57000 57100 denies
- 57010 57100 denies
- 57020 57100 denies
- 57022 57100 denies
- 57023 57100 denies
- 57061 57100 denies
- 57065 57100 denies
- 57105 57100 denies
- 57106 57100 denies
- 57107 57100 denies
- 57109 57100 denies
- 57110 57100 denies
- 57111 57100 denies
- 57120 57100 denies
- 57130 57100 denies
- 57135 57100 denies
- 57150 57100 denies
- 57155 57100 denies
- 57156 57100 denies
- 57160 57100 denies
- 57170 57100 denies
- 57180 57100 denies
- 57200 57100 denies
- 57210 57100 denies
- 57220 57100 denies
- 57230 57100 denies
- 57240 57100 denies
- 57250 57100 denies
- 57260 57100 denies
- 57265 57100 denies
- 57267 57100 denies
- 57268 57100 denies
- 57270 57100 denies
- 57280 57100 denies
- 57282 57100 denies
- 57283 57100 denies
- 57284 57100 denies
- 57285 57100 denies
- 57287 57100 denies
- 57288 57100 denies
- 57289 57100 denies
- 57291 57100 denies
Showing 50 of 151. 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.
- 0596T 0596T denies
- 0597T 0597T denies
- 0666T 57100 denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 10005 10005 denies
- 10007 10007 denies
- 10009 10009 denies
- 10011 10011 denies
- 10021 10021 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
- 12017 12017 denies
- 12018 12018 denies
- 12020 12020 denies
- 12021 12021 denies
- 12031 12031 denies
- 12032 12032 denies
- 12034 12034 denies
- 12035 12035 denies
- 12036 12036 denies
- 12037 12037 denies
- 12041 12041 denies
- 12042 12042 denies
- 12044 12044 denies
- 12045 12045 denies
- 12046 12046 denies
- 12047 12047 denies
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
- 12055 12055 denies
- 12056 12056 denies
- 12057 12057 denies
- 13100 13100 denies
- 13101 13101 denies
- 13102 13102 denies
Showing 50 of 222. 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.