NCCI edits for CPT 57558
CMS lists 115 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 153 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.
- 0213T 0213T denies
- 0216T 0216T denies
- 0664T 57558 denies
- 0665T 57558 denies
- 0666T 57558 denies
- 0667T 57558 denies
- 36591 36591 denies
- 36592 36592 denies
- 51701 51701 denies
- 51702 51702 denies
- 51925 57558 denies
- 57410 57410 denies
- 57420 57420 denies
- 57452 57452 denies
- 57500 57500 denies
- 57530 57530 denies
- 57800 57800 denies
- 58100 58100 denies
- 58150 57558 denies
- 58152 57558 denies
- 58180 57558 denies
- 58200 57558 denies
- 58210 57558 denies
- 58260 57558 denies
- 58262 57558 denies
- 58263 57558 denies
- 58267 57558 denies
- 58270 57558 denies
- 58275 57558 denies
- 58280 57558 denies
- 58285 57558 denies
- 58290 57558 denies
- 58291 57558 denies
- 58292 57558 denies
- 58294 57558 denies
- 58541 57558 denies
- 58542 57558 denies
- 58543 57558 denies
- 58544 57558 denies
- 58548 57558 denies
- 58550 57558 denies
- 58552 57558 denies
- 58553 57558 denies
- 58554 57558 denies
- 58570 57558 denies
- 58571 57558 denies
- 58572 57558 denies
- 58573 57558 denies
- 58575 57558 denies
- 58951 57558 denies
Showing 50 of 115. 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 153. 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.