NCCI edits for CPT 99157
CMS lists 6,006 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 22 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 6 units 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.
- 00100 99157 denies
- 00102 99157 denies
- 00103 99157 denies
- 00104 99157 denies
- 00120 99157 denies
- 00124 99157 denies
- 00126 99157 denies
- 00140 99157 denies
- 00142 99157 denies
- 00144 99157 denies
- 00145 99157 denies
- 00147 99157 denies
- 00148 99157 denies
- 00160 99157 denies
- 00162 99157 denies
- 00164 99157 denies
- 00170 99157 denies
- 00172 99157 denies
- 00174 99157 denies
- 00176 99157 denies
- 00190 99157 denies
- 00192 99157 denies
- 00210 99157 denies
- 00211 99157 denies
- 00212 99157 denies
- 00214 99157 denies
- 00215 99157 denies
- 00216 99157 denies
- 00218 99157 denies
- 00220 99157 denies
- 00222 99157 denies
- 00300 99157 denies
- 00320 99157 denies
- 00322 99157 denies
- 00326 99157 denies
- 00350 99157 denies
- 00352 99157 denies
- 00400 99157 denies
- 00402 99157 denies
- 00404 99157 denies
- 00406 99157 denies
- 00410 99157 denies
- 00450 99157 denies
- 00454 99157 denies
- 00470 99157 denies
- 00472 99157 denies
- 00474 99157 denies
- 00500 99157 denies
- 00520 99157 denies
- 00522 99157 denies
Showing 50 of 6,006. 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.
- 31500 99157 denies
- 33288 99157 denies
- 36555 99157 denies
- 36556 99157 denies
- 36557 99157 denies
- 36558 99157 denies
- 36560 99157 denies
- 36561 99157 denies
- 36563 99157 denies
- 36565 99157 denies
- 36566 99157 denies
- 36568 99157 denies
- 36569 99157 denies
- 36620 99157 denies
- 36625 99157 denies
- 52284 99157 denies
- 92972 99157 denies
- 93503 99157 denies
- 94762 94762 denies
- 99151 99157 denies
- 99152 99157 denies
- G0500 99157 denies
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.