NCCI edits for CPT 57267
CMS lists 8 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 78 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.
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.
- 0437T 0437T denies
- 11000 11000 denies
- 11001 11001 denies
- 11004 57267 denies
- 11005 57267 denies
- 11006 57267 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 15777 15777 denies
- 32800 57267 denies
- 39503 57267 denies
- 39540 57267 denies
- 39541 57267 denies
- 43281 57267 denies
- 43282 57267 denies
- 43332 57267 denies
- 43333 57267 denies
- 43334 57267 denies
- 43335 57267 denies
- 43336 57267 denies
- 43337 57267 denies
- 44050 57267 denies
- 44346 57267 denies
- 49491 57267 denies
- 49492 57267 denies
- 49495 57267 denies
- 49496 57267 denies
- 49500 57267 denies
- 49501 57267 denies
- 49505 57267 denies
- 49507 57267 denies
- 49520 57267 denies
- 49521 57267 denies
- 49525 57267 denies
- 49540 57267 denies
- 49550 57267 denies
- 49553 57267 denies
- 49555 57267 denies
- 49557 57267 denies
- 49591 57267 denies
- 49592 57267 denies
- 49593 57267 denies
- 49594 57267 denies
- 49595 57267 denies
- 49596 57267 denies
- 49600 57267 denies
Showing 50 of 78. 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.