NCCI edits for CPT 57500
CMS lists 110 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 264 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.
- 0071T 57500 denies
- 0072T 57500 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 36591 36591 denies
- 36592 36592 denies
- 51701 51701 denies
- 51702 51702 denies
- 57410 57500 denies
- 57420 57420 denies
- 57421 57500 denies
- 57452 57452 denies
- 57454 57500 denies
- 57455 57500 denies
- 57456 57500 denies
- 57460 57500 denies
- 57461 57500 denies
- 57510 57500 denies
- 57511 57500 denies
- 57513 57500 denies
- 57520 57500 denies
- 57522 57500 denies
- 57530 57500 denies
- 57540 57500 denies
- 57545 57500 denies
- 57550 57500 denies
- 57555 57500 denies
- 57556 57500 denies
- 57558 57500 denies
- 57700 57500 denies
- 57720 57500 denies
- 57800 57500 denies
- 58100 57500 denies
- 58152 57500 denies
- 58260 57500 denies
- 58262 57500 denies
- 58263 57500 denies
- 58267 57500 denies
- 58270 57500 denies
- 58275 57500 denies
- 58280 57500 denies
- 58285 57500 denies
- 58290 57500 denies
- 58291 57500 denies
- 58292 57500 denies
- 58294 57500 denies
- 58356 57500 denies
- 58552 57500 denies
- 62320 62320 denies
- 62321 62321 denies
Showing 50 of 110. 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 57500 denies
- 0672T 57500 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
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 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
Showing 50 of 264. 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.