NCCI edits for HCPCS G0257
CMS lists 3 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 25 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: the Column Two code is denied and the Column One code is paid.
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.
- 0407U 0407U denies
- 36000 36000 denies
- 36410 36410 denies
- 36430 36430 denies
- 36901 36901 denies
- 36902 36902 denies
- 36903 36903 denies
- 36904 36904 denies
- 36905 36905 denies
- 36906 36906 denies
- 36907 36907 denies
- 36908 36908 denies
- 36909 36909 denies
- 90935 90935 denies
- 90937 90937 denies
- 90945 90945 denies
- 90947 90947 denies
- 90997 90997 denies
- 96360 96360 denies
- 96365 96365 denies
- 97802 97802 denies
- 97803 97803 denies
- 97804 97804 denies
- G0491 G0491 denies
- G0492 G0492 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.