NCCI edits for CPT 92557
CMS lists 16 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 3 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.
- 0212T 0212T denies
- 0728T 92557 denies
- 0729T 92557 denies
- 36591 36591 denies
- 36592 36592 denies
- 69209 69209 denies
- 69210 69210 denies
- 92552 92552 denies
- 92553 92553 denies
- 92555 92555 denies
- 92556 92556 denies
- 92601 92557 denies
- 92602 92557 denies
- 92603 92557 denies
- 92604 92557 denies
- 96523 96523 denies
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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.