NCCI edits for CPT 58263
CMS lists 121 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 215 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 0071T denies
- 0072T 0072T denies
- 01962 01962 denies
- 01963 01963 denies
- 01969 01969 denies
- 0213T 0213T denies
- 0216T 0216T denies
- 0596T 0596T denies
- 0597T 0597T denies
- 36591 36591 denies
- 36592 36592 denies
- 45560 45560 denies
- 49407 49407 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 57000 57000 denies
- 57100 57100 denies
- 57105 57105 denies
- 57106 57106 denies
- 57150 57150 denies
- 57180 57180 denies
- 57265 57265 denies
- 57268 57268 denies
- 57283 57283 denies
- 57284 57284 denies
- 57410 57410 denies
- 57420 57420 denies
- 57452 57452 denies
- 57454 57454 denies
- 57455 57455 denies
- 57460 57460 denies
- 57500 57500 denies
- 57505 57505 denies
- 57530 57530 denies
- 57555 57555 denies
- 57558 57558 denies
- 57800 57800 denies
- 58100 58100 denies
- 58110 58110 denies
- 58120 58120 denies
- 58140 58140 denies
- 58145 58145 denies
- 58146 58146 denies
- 58200 58263 denies
- 58262 58262 denies
- 58267 58263 denies
- 58270 58270 denies
- 58301 58301 denies
- 58356 58356 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.
- 0666T 0666T denies
- 0708T 0708T denies
- 0709T 0709T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T 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
- 12046 12046 denies
- 12047 12047 denies
- 12051 12051 denies
- 12052 12052 denies
- 12053 12053 denies
- 12054 12054 denies
- 12055 12055 denies
- 12056 12056 denies
Showing 50 of 215. 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.