NCCI edits for CPT 57455
CMS lists 121 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 164 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
- 0664T 57455 denies
- 0665T 57455 denies
- 0666T 57455 denies
- 0667T 57455 denies
- 36591 36591 denies
- 36592 36592 denies
- 51701 51701 denies
- 51702 51702 denies
- 57410 57410 denies
- 57420 57420 denies
- 57421 57455 denies
- 57452 57452 denies
- 57454 57455 denies
- 57460 57455 denies
- 57461 57455 denies
- 57500 57500 denies
- 57505 57505 denies
- 57530 57455 denies
- 57540 57455 denies
- 57545 57455 denies
- 57550 57455 denies
- 57555 57455 denies
- 57556 57455 denies
- 57800 57800 denies
- 58100 58100 denies
- 58150 57455 denies
- 58152 57455 denies
- 58200 57455 denies
- 58210 57455 denies
- 58240 57455 denies
- 58260 57455 denies
- 58262 57455 denies
- 58263 57455 denies
- 58267 57455 denies
- 58270 57455 denies
- 58275 57455 denies
- 58280 57455 denies
- 58285 57455 denies
- 58290 57455 denies
- 58291 57455 denies
- 58292 57455 denies
- 58294 57455 denies
- 58548 57455 denies
- 58550 57455 denies
- 58552 57455 denies
- 58553 57455 denies
- 58554 57455 denies
Showing 50 of 121. 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
- 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
- 13120 13120 denies
Showing 50 of 164. 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.