NCCI edits for CPT 99457
CMS lists 54 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 17 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.
- 0575T 99457 denies
- 0576T 99457 denies
- 0578T 0578T denies
- 0579T 99457 denies
- 0650T 99457 denies
- 0696T 99457 denies
- 0733T 99457 denies
- 36591 36591 denies
- 36592 36592 denies
- 80503 99457 denies
- 80504 99457 denies
- 80505 99457 denies
- 80506 99457 denies
- 93227 99457 denies
- 93244 99457 denies
- 93248 99457 denies
- 93260 99457 denies
- 93261 99457 denies
- 93264 99457 denies
- 93272 99457 denies
- 93279 99457 denies
- 93280 99457 denies
- 93281 99457 denies
- 93282 99457 denies
- 93283 99457 denies
- 93284 99457 denies
- 93285 99457 denies
- 93286 99457 denies
- 93287 99457 denies
- 93288 99457 denies
- 93289 99457 denies
- 93290 99457 denies
- 93291 99457 denies
- 93292 99457 denies
- 93293 99457 denies
- 93294 93294 denies
- 93295 93295 denies
- 93296 99457 denies
- 93297 93297 denies
- 93298 93298 denies
- 94014 99457 denies
- 94016 99457 denies
- 95250 99457 denies
- 95836 99457 denies
- 96523 96523 denies
- 97750 97750 denies
- 98978 99457 denies
- 98980 98980 denies
- 99452 99452 denies
- 99473 99473 denies
Showing 50 of 54. 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.
- 0604T 99457 denies
- 0605T 99457 denies
- 0606T 99457 denies
- 0734T 0734T denies
- 0928T 0928T denies
- 0929T 99457 denies
- 0934T 99457 denies
- 0937T 99457 denies
- 0940T 99457 denies
- 93224 99457 denies
- 93228 99457 denies
- 93241 99457 denies
- 93245 99457 denies
- 93268 99457 denies
- 93793 93793 denies
- 99091 99091 denies
- G0250 G0250 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.