NCCI edits for CPT 57284
CMS lists 117 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 159 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 1 unit 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
- 0596T 0596T denies
- 0597T 0597T denies
- 36591 36591 denies
- 36592 36592 denies
- 43653 43653 denies
- 44005 44005 denies
- 44180 44180 denies
- 44950 44950 denies
- 44970 44970 denies
- 49000 49000 denies
- 49010 49010 denies
- 49255 49255 denies
- 49320 49320 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 51840 51840 denies
- 51841 51841 denies
- 51990 51990 denies
- 52000 52000 denies
- 57100 57100 denies
- 57240 57240 denies
- 57260 57260 denies
- 57265 57284 denies
- 57268 57268 denies
- 57270 57270 denies
- 57285 57285 denies
- 57410 57410 denies
- 57420 57420 denies
- 57423 57423 denies
- 57452 57452 denies
- 57545 57284 denies
- 58100 58100 denies
- 58152 57284 denies
- 58260 57284 denies
- 58262 57284 denies
- 58263 57284 denies
- 58267 57284 denies
- 58270 57284 denies
- 58275 57284 denies
- 58280 57284 denies
- 58285 57284 denies
- 58292 57284 denies
- 58294 57284 denies
- 58550 57284 denies
- 58552 57284 denies
- 58553 57284 denies
Showing 50 of 117. 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.
- 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
- 13151 13151 denies
- 13152 13152 denies
Showing 50 of 159. 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.