NCCI edits for CPT 57150
CMS lists 143 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 158 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.
- 00940 00940 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0672T 57150 denies
- 36591 36591 denies
- 36592 36592 denies
- 51701 51701 denies
- 51702 51702 denies
- 57000 57150 denies
- 57010 57150 denies
- 57020 57150 denies
- 57022 57150 denies
- 57023 57150 denies
- 57061 57150 denies
- 57065 57150 denies
- 57100 57100 denies
- 57105 57150 denies
- 57106 57150 denies
- 57107 57150 denies
- 57109 57150 denies
- 57110 57150 denies
- 57111 57150 denies
- 57120 57150 denies
- 57130 57150 denies
- 57135 57150 denies
- 57200 57150 denies
- 57210 57150 denies
- 57220 57150 denies
- 57230 57150 denies
- 57240 57150 denies
- 57250 57150 denies
- 57260 57150 denies
- 57265 57150 denies
- 57267 57150 denies
- 57268 57150 denies
- 57282 57150 denies
- 57283 57150 denies
- 57285 57150 denies
- 57287 57150 denies
- 57288 57150 denies
- 57289 57150 denies
- 57291 57150 denies
- 57292 57150 denies
- 57295 57150 denies
- 57296 57150 denies
- 57300 57150 denies
- 57310 57150 denies
- 57311 57150 denies
- 57320 57150 denies
- 57330 57150 denies
Showing 50 of 143. 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
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T 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
- 13120 13120 denies
- 13121 13121 denies
- 13122 13122 denies
- 13131 13131 denies
- 13132 13132 denies
- 13133 13133 denies
Showing 50 of 158. 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.