NCCI edits for G0104 Code page: https://localishealth.com/hcpcs/G0104 NCCI release: 2026 D Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0) 0091U G0104 is Column One, 0091U is Column Two—0091U denies 0163U G0104 is Column One, 0163U is Column Two—0163U denies 0213T G0104 is Column One, 0213T is Column Two—0213T denies 0216T G0104 is Column One, 0216T is Column Two—0216T denies 0421U G0104 is Column One, 0421U is Column Two—0421U denies 0464U G0104 is Column One, 0464U is Column Two—0464U denies 0501U G0104 is Column One, 0501U is Column Two—0501U denies 0885T 0885T is Column One, G0104 is Column Two—G0104 denies 0886T 0886T is Column One, G0104 is Column Two—G0104 denies 36591 G0104 is Column One, 36591 is Column Two—36591 denies 36592 G0104 is Column One, 36592 is Column Two—36592 denies 45300 G0104 is Column One, 45300 is Column Two—45300 denies 45303 G0104 is Column One, 45303 is Column Two—45303 denies 45305 G0104 is Column One, 45305 is Column Two—45305 denies 45307 G0104 is Column One, 45307 is Column Two—45307 denies 45308 G0104 is Column One, 45308 is Column Two—45308 denies 45309 G0104 is Column One, 45309 is Column Two—45309 denies 45315 G0104 is Column One, 45315 is Column Two—45315 denies 45317 G0104 is Column One, 45317 is Column Two—45317 denies 45320 G0104 is Column One, 45320 is Column Two—45320 denies 45321 G0104 is Column One, 45321 is Column Two—45321 denies 45327 G0104 is Column One, 45327 is Column Two—45327 denies 45330 G0104 is Column One, 45330 is Column Two—45330 denies 45331 G0104 is Column One, 45331 is Column Two—45331 denies 45332 G0104 is Column One, 45332 is Column Two—45332 denies 45333 G0104 is Column One, 45333 is Column Two—45333 denies 45334 G0104 is Column One, 45334 is Column Two—45334 denies 45335 G0104 is Column One, 45335 is Column Two—45335 denies 45337 G0104 is Column One, 45337 is Column Two—45337 denies 45338 G0104 is Column One, 45338 is Column Two—45338 denies 45340 G0104 is Column One, 45340 is Column Two—45340 denies 45341 G0104 is Column One, 45341 is Column Two—45341 denies 45342 G0104 is Column One, 45342 is Column Two—45342 denies 45346 45346 is Column One, G0104 is Column Two—G0104 denies 45347 45347 is Column One, G0104 is Column Two—G0104 denies 45349 45349 is Column One, G0104 is Column Two—G0104 denies 45350 45350 is Column One, G0104 is Column Two—G0104 denies 45378 G0104 is Column One, 45378 is Column Two—45378 denies 45379 G0104 is Column One, 45379 is Column Two—45379 denies 45380 G0104 is Column One, 45380 is Column Two—45380 denies 45381 G0104 is Column One, 45381 is Column Two—45381 denies 45382 G0104 is Column One, 45382 is Column Two—45382 denies 45384 G0104 is Column One, 45384 is Column Two—45384 denies 45385 G0104 is Column One, 45385 is Column Two—45385 denies 45386 G0104 is Column One, 45386 is Column Two—45386 denies 45388 45388 is Column One, G0104 is Column Two—G0104 denies 45389 45389 is Column One, G0104 is Column Two—G0104 denies 45390 45390 is Column One, G0104 is Column Two—G0104 denies 45393 45393 is Column One, G0104 is Column Two—G0104 denies 45398 45398 is Column One, G0104 is Column Two—G0104 denies 46604 G0104 is Column One, 46604 is Column Two—46604 denies 46608 G0104 is Column One, 46608 is Column Two—46608 denies 46614 G0104 is Column One, 46614 is Column Two—46614 denies 62320 G0104 is Column One, 62320 is Column Two—62320 denies 62321 G0104 is Column One, 62321 is Column Two—62321 denies 62322 G0104 is Column One, 62322 is Column Two—62322 denies 62323 G0104 is Column One, 62323 is Column Two—62323 denies 62324 G0104 is Column One, 62324 is Column Two—62324 denies 62325 G0104 is Column One, 62325 is Column Two—62325 denies 62326 G0104 is Column One, 62326 is Column Two—62326 denies 62327 G0104 is Column One, 62327 is Column Two—62327 denies 64400 G0104 is Column One, 64400 is Column Two—64400 denies 64405 G0104 is Column One, 64405 is Column Two—64405 denies 64408 G0104 is Column One, 64408 is Column Two—64408 denies 64415 G0104 is Column One, 64415 is Column Two—64415 denies 64416 G0104 is Column One, 64416 is Column Two—64416 denies 64417 G0104 is Column One, 64417 is Column Two—64417 denies 64418 G0104 is Column One, 64418 is Column Two—64418 denies 64420 G0104 is Column One, 64420 is Column Two—64420 denies 64421 G0104 is Column One, 64421 is Column Two—64421 denies 64425 G0104 is Column One, 64425 is Column Two—64425 denies 64430 G0104 is Column One, 64430 is Column Two—64430 denies 64435 G0104 is Column One, 64435 is Column Two—64435 denies 64445 G0104 is Column One, 64445 is Column Two—64445 denies 64446 G0104 is Column One, 64446 is Column Two—64446 denies 64447 G0104 is Column One, 64447 is Column Two—64447 denies 64448 G0104 is Column One, 64448 is Column Two—64448 denies 64449 G0104 is Column One, 64449 is Column Two—64449 denies 64450 G0104 is Column One, 64450 is Column Two—64450 denies 64451 G0104 is Column One, 64451 is Column Two—64451 denies 64454 G0104 is Column One, 64454 is Column Two—64454 denies 64461 G0104 is Column One, 64461 is Column Two—64461 denies 64462 G0104 is Column One, 64462 is Column Two—64462 denies 64463 G0104 is Column One, 64463 is Column Two—64463 denies 64479 G0104 is Column One, 64479 is Column Two—64479 denies 64480 G0104 is Column One, 64480 is Column Two—64480 denies 64483 G0104 is Column One, 64483 is Column Two—64483 denies 64484 G0104 is Column One, 64484 is Column Two—64484 denies 64486 G0104 is Column One, 64486 is Column Two—64486 denies 64487 G0104 is Column One, 64487 is Column Two—64487 denies 64488 G0104 is Column One, 64488 is Column Two—64488 denies 64489 G0104 is Column One, 64489 is Column Two—64489 denies 64490 G0104 is Column One, 64490 is Column Two—64490 denies 64491 G0104 is Column One, 64491 is Column Two—64491 denies 64492 G0104 is Column One, 64492 is Column Two—64492 denies 64493 G0104 is Column One, 64493 is Column Two—64493 denies 64494 G0104 is Column One, 64494 is Column Two—64494 denies 64495 G0104 is Column One, 64495 is Column Two—64495 denies 64505 G0104 is Column One, 64505 is Column Two—64505 denies 64510 G0104 is Column One, 64510 is Column Two—64510 denies 64517 G0104 is Column One, 64517 is Column Two—64517 denies 64520 G0104 is Column One, 64520 is Column Two—64520 denies 64530 G0104 is Column One, 64530 is Column Two—64530 denies 81528 G0104 is Column One, 81528 is Column Two—81528 denies 82274 G0104 is Column One, 82274 is Column Two—82274 denies 96523 G0104 is Column One, 96523 is Column Two—96523 denies 99155 G0104 is Column One, 99155 is Column Two—99155 denies 99156 G0104 is Column One, 99156 is Column Two—99156 denies 99157 G0104 is Column One, 99157 is Column Two—99157 denies 99446 G0104 is Column One, 99446 is Column Two—99446 denies 99447 G0104 is Column One, 99447 is Column Two—99447 denies 99448 G0104 is Column One, 99448 is Column Two—99448 denies 99449 G0104 is Column One, 99449 is Column Two—99449 denies 99451 G0104 is Column One, 99451 is Column Two—99451 denies 99452 G0104 is Column One, 99452 is Column Two—99452 denies G0105 G0104 is Column One, G0105 is Column Two—G0105 denies G0121 G0104 is Column One, G0121 is Column Two—G0121 denies G0327 G0327 is Column One, G0104 is Column Two—G0104 denies G0337 G0337 is Column One, G0104 is Column Two—G0104 denies BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1) 0405U G0104 is Column One, 0405U is Column Two—0405U denies 0460U G0104 is Column One, 0460U is Column Two—0460U denies 0461U G0104 is Column One, 0461U is Column Two—0461U denies 0596T G0104 is Column One, 0596T is Column Two—0596T denies 0597T G0104 is Column One, 0597T is Column Two—0597T denies 0708T G0104 is Column One, 0708T is Column Two—0708T denies 0709T G0104 is Column One, 0709T is Column Two—0709T denies 0903T G0104 is Column One, 0903T is Column Two—0903T denies 0904T G0104 is Column One, 0904T is Column Two—0904T denies 0905T G0104 is Column One, 0905T is Column Two—0905T denies 12001 G0104 is Column One, 12001 is Column Two—12001 denies 12002 G0104 is Column One, 12002 is Column Two—12002 denies 12004 G0104 is Column One, 12004 is Column Two—12004 denies 12005 G0104 is Column One, 12005 is Column Two—12005 denies 12006 G0104 is Column One, 12006 is Column Two—12006 denies 12007 G0104 is Column One, 12007 is Column Two—12007 denies 12011 G0104 is Column One, 12011 is Column Two—12011 denies 12013 G0104 is Column One, 12013 is Column Two—12013 denies 12014 G0104 is Column One, 12014 is Column Two—12014 denies 12015 G0104 is Column One, 12015 is Column Two—12015 denies 12016 G0104 is Column One, 12016 is Column Two—12016 denies 12017 G0104 is Column One, 12017 is Column Two—12017 denies 12018 G0104 is Column One, 12018 is Column Two—12018 denies 12020 G0104 is Column One, 12020 is Column Two—12020 denies 12021 G0104 is Column One, 12021 is Column Two—12021 denies 12031 G0104 is Column One, 12031 is Column Two—12031 denies 12032 G0104 is Column One, 12032 is Column Two—12032 denies 12034 G0104 is Column One, 12034 is Column Two—12034 denies 12035 G0104 is Column One, 12035 is Column Two—12035 denies 12036 G0104 is Column One, 12036 is Column Two—12036 denies 12037 G0104 is Column One, 12037 is Column Two—12037 denies 12041 G0104 is Column One, 12041 is Column Two—12041 denies 12042 G0104 is Column One, 12042 is Column Two—12042 denies 12044 G0104 is Column One, 12044 is Column Two—12044 denies 12045 G0104 is Column One, 12045 is Column Two—12045 denies 12046 G0104 is Column One, 12046 is Column Two—12046 denies 12047 G0104 is Column One, 12047 is Column Two—12047 denies 12051 G0104 is Column One, 12051 is Column Two—12051 denies 12052 G0104 is Column One, 12052 is Column Two—12052 denies 12053 G0104 is Column One, 12053 is Column Two—12053 denies 12054 G0104 is Column One, 12054 is Column Two—12054 denies 12055 G0104 is Column One, 12055 is Column Two—12055 denies 12056 G0104 is Column One, 12056 is Column Two—12056 denies 12057 G0104 is Column One, 12057 is Column Two—12057 denies 13100 G0104 is Column One, 13100 is Column Two—13100 denies 13101 G0104 is Column One, 13101 is Column Two—13101 denies 13102 G0104 is Column One, 13102 is Column Two—13102 denies 13120 G0104 is Column One, 13120 is Column Two—13120 denies 13121 G0104 is Column One, 13121 is Column Two—13121 denies 13122 G0104 is Column One, 13122 is Column Two—13122 denies 13131 G0104 is Column One, 13131 is Column Two—13131 denies 13132 G0104 is Column One, 13132 is Column Two—13132 denies 13133 G0104 is Column One, 13133 is Column Two—13133 denies 13151 G0104 is Column One, 13151 is Column Two—13151 denies 13152 G0104 is Column One, 13152 is Column Two—13152 denies 13153 G0104 is Column One, 13153 is Column Two—13153 denies 36000 G0104 is Column One, 36000 is Column Two—36000 denies 36400 G0104 is Column One, 36400 is Column Two—36400 denies 36405 G0104 is Column One, 36405 is Column Two—36405 denies 36406 G0104 is Column One, 36406 is Column Two—36406 denies 36410 G0104 is Column One, 36410 is Column Two—36410 denies 36420 G0104 is Column One, 36420 is Column Two—36420 denies 36425 G0104 is Column One, 36425 is Column Two—36425 denies 36430 G0104 is Column One, 36430 is Column Two—36430 denies 36440 G0104 is Column One, 36440 is Column Two—36440 denies 36600 G0104 is Column One, 36600 is Column Two—36600 denies 36640 G0104 is Column One, 36640 is Column Two—36640 denies 43752 G0104 is Column One, 43752 is Column Two—43752 denies 51701 G0104 is Column One, 51701 is Column Two—51701 denies 51702 G0104 is Column One, 51702 is Column Two—51702 denies 51703 G0104 is Column One, 51703 is Column Two—51703 denies 64466 G0104 is Column One, 64466 is Column Two—64466 denies 64467 G0104 is Column One, 64467 is Column Two—64467 denies 64468 G0104 is Column One, 64468 is Column Two—64468 denies 64469 G0104 is Column One, 64469 is Column Two—64469 denies 64473 G0104 is Column One, 64473 is Column Two—64473 denies 64474 G0104 is Column One, 64474 is Column Two—64474 denies 92012 G0104 is Column One, 92012 is Column Two—92012 denies 92014 G0104 is Column One, 92014 is Column Two—92014 denies 93000 G0104 is Column One, 93000 is Column Two—93000 denies 93005 G0104 is Column One, 93005 is Column Two—93005 denies 93010 G0104 is Column One, 93010 is Column Two—93010 denies 93040 G0104 is Column One, 93040 is Column Two—93040 denies 93041 G0104 is Column One, 93041 is Column Two—93041 denies 93042 G0104 is Column One, 93042 is Column Two—93042 denies 93318 G0104 is Column One, 93318 is Column Two—93318 denies 93355 G0104 is Column One, 93355 is Column Two—93355 denies 94002 G0104 is Column One, 94002 is Column Two—94002 denies 94200 G0104 is Column One, 94200 is Column Two—94200 denies 94680 G0104 is Column One, 94680 is Column Two—94680 denies 94681 G0104 is Column One, 94681 is Column Two—94681 denies 94690 G0104 is Column One, 94690 is Column Two—94690 denies 95812 G0104 is Column One, 95812 is Column Two—95812 denies 95813 G0104 is Column One, 95813 is Column Two—95813 denies 95816 G0104 is Column One, 95816 is Column Two—95816 denies 95819 G0104 is Column One, 95819 is Column Two—95819 denies 95822 G0104 is Column One, 95822 is Column Two—95822 denies 95829 G0104 is Column One, 95829 is Column Two—95829 denies 95955 G0104 is Column One, 95955 is Column Two—95955 denies 96360 G0104 is Column One, 96360 is Column Two—96360 denies 96361 G0104 is Column One, 96361 is Column Two—96361 denies 96365 G0104 is Column One, 96365 is Column Two—96365 denies 96366 G0104 is Column One, 96366 is Column Two—96366 denies 96367 G0104 is Column One, 96367 is Column Two—96367 denies 96368 G0104 is Column One, 96368 is Column Two—96368 denies 96372 G0104 is Column One, 96372 is Column Two—96372 denies 96374 G0104 is Column One, 96374 is Column Two—96374 denies 96375 G0104 is Column One, 96375 is Column Two—96375 denies 96376 G0104 is Column One, 96376 is Column Two—96376 denies 96377 G0104 is Column One, 96377 is Column Two—96377 denies 99202 G0104 is Column One, 99202 is Column Two—99202 denies 99203 G0104 is Column One, 99203 is Column Two—99203 denies 99204 G0104 is Column One, 99204 is Column Two—99204 denies 99205 G0104 is Column One, 99205 is Column Two—99205 denies 99211 G0104 is Column One, 99211 is Column Two—99211 denies 99212 G0104 is Column One, 99212 is Column Two—99212 denies 99213 G0104 is Column One, 99213 is Column Two—99213 denies 99214 G0104 is Column One, 99214 is Column Two—99214 denies 99215 G0104 is Column One, 99215 is Column Two—99215 denies 99221 G0104 is Column One, 99221 is Column Two—99221 denies 99222 G0104 is Column One, 99222 is Column Two—99222 denies 99223 G0104 is Column One, 99223 is Column Two—99223 denies 99231 G0104 is Column One, 99231 is Column Two—99231 denies 99232 G0104 is Column One, 99232 is Column Two—99232 denies 99233 G0104 is Column One, 99233 is Column Two—99233 denies 99234 G0104 is Column One, 99234 is Column Two—99234 denies 99235 G0104 is Column One, 99235 is Column Two—99235 denies 99236 G0104 is Column One, 99236 is Column Two—99236 denies 99238 G0104 is Column One, 99238 is Column Two—99238 denies 99239 G0104 is Column One, 99239 is Column Two—99239 denies 99242 G0104 is Column One, 99242 is Column Two—99242 denies 99243 G0104 is Column One, 99243 is Column Two—99243 denies 99244 G0104 is Column One, 99244 is Column Two—99244 denies 99245 G0104 is Column One, 99245 is Column Two—99245 denies 99252 G0104 is Column One, 99252 is Column Two—99252 denies 99253 G0104 is Column One, 99253 is Column Two—99253 denies 99254 G0104 is Column One, 99254 is Column Two—99254 denies 99255 G0104 is Column One, 99255 is Column Two—99255 denies 99281 G0104 is Column One, 99281 is Column Two—99281 denies 99282 G0104 is Column One, 99282 is Column Two—99282 denies 99283 G0104 is Column One, 99283 is Column Two—99283 denies 99284 G0104 is Column One, 99284 is Column Two—99284 denies 99285 G0104 is Column One, 99285 is Column Two—99285 denies 99291 G0104 is Column One, 99291 is Column Two—99291 denies 99292 G0104 is Column One, 99292 is Column Two—99292 denies 99304 G0104 is Column One, 99304 is Column Two—99304 denies 99305 G0104 is Column One, 99305 is Column Two—99305 denies 99306 G0104 is Column One, 99306 is Column Two—99306 denies 99307 G0104 is Column One, 99307 is Column Two—99307 denies 99308 G0104 is Column One, 99308 is Column Two—99308 denies 99309 G0104 is Column One, 99309 is Column Two—99309 denies 99310 G0104 is Column One, 99310 is Column Two—99310 denies 99315 G0104 is Column One, 99315 is Column Two—99315 denies 99316 G0104 is Column One, 99316 is Column Two—99316 denies 99341 G0104 is Column One, 99341 is Column Two—99341 denies 99342 G0104 is Column One, 99342 is Column Two—99342 denies 99344 G0104 is Column One, 99344 is Column Two—99344 denies 99345 G0104 is Column One, 99345 is Column Two—99345 denies 99347 G0104 is Column One, 99347 is Column Two—99347 denies 99348 G0104 is Column One, 99348 is Column Two—99348 denies 99349 G0104 is Column One, 99349 is Column Two—99349 denies 99350 G0104 is Column One, 99350 is Column Two—99350 denies 99358 G0104 is Column One, 99358 is Column Two—99358 denies 99359 G0104 is Column One, 99359 is Column Two—99359 denies 99360 G0104 is Column One, 99360 is Column Two—99360 denies 99374 G0104 is Column One, 99374 is Column Two—99374 denies 99375 G0104 is Column One, 99375 is Column Two—99375 denies 99377 G0104 is Column One, 99377 is Column Two—99377 denies 99378 G0104 is Column One, 99378 is Column Two—99378 denies 99415 G0104 is Column One, 99415 is Column Two—99415 denies 99416 G0104 is Column One, 99416 is Column Two—99416 denies 99418 G0104 is Column One, 99418 is Column Two—99418 denies 99455 G0104 is Column One, 99455 is Column Two—99455 denies 99456 G0104 is Column One, 99456 is Column Two—99456 denies 99460 G0104 is Column One, 99460 is Column Two—99460 denies 99461 G0104 is Column One, 99461 is Column Two—99461 denies 99462 G0104 is Column One, 99462 is Column Two—99462 denies 99463 G0104 is Column One, 99463 is Column Two—99463 denies 99464 G0104 is Column One, 99464 is Column Two—99464 denies 99465 G0104 is Column One, 99465 is Column Two—99465 denies 99466 G0104 is Column One, 99466 is Column Two—99466 denies 99468 G0104 is Column One, 99468 is Column Two—99468 denies 99469 G0104 is Column One, 99469 is Column Two—99469 denies 99471 G0104 is Column One, 99471 is Column Two—99471 denies 99472 G0104 is Column One, 99472 is Column Two—99472 denies 99475 G0104 is Column One, 99475 is Column Two—99475 denies 99476 G0104 is Column One, 99476 is Column Two—99476 denies 99477 G0104 is Column One, 99477 is Column Two—99477 denies 99478 G0104 is Column One, 99478 is Column Two—99478 denies 99479 G0104 is Column One, 99479 is Column Two—99479 denies 99480 G0104 is Column One, 99480 is Column Two—99480 denies 99483 G0104 is Column One, 99483 is Column Two—99483 denies 99485 G0104 is Column One, 99485 is Column Two—99485 denies 99495 G0104 is Column One, 99495 is Column Two—99495 denies 99496 G0104 is Column One, 99496 is Column Two—99496 denies 99497 G0104 is Column One, 99497 is Column Two—99497 denies G0181 G0104 is Column One, G0181 is Column Two—G0181 denies G0182 G0104 is Column One, G0182 is Column Two—G0182 denies G0380 G0104 is Column One, G0380 is Column Two—G0380 denies G0381 G0104 is Column One, G0381 is Column Two—G0381 denies G0382 G0104 is Column One, G0382 is Column Two—G0382 denies G0383 G0104 is Column One, G0383 is Column Two—G0383 denies G0384 G0104 is Column One, G0384 is Column Two—G0384 denies G0406 G0104 is Column One, G0406 is Column Two—G0406 denies G0407 G0104 is Column One, G0407 is Column Two—G0407 denies G0408 G0104 is Column One, G0408 is Column Two—G0408 denies G0425 G0104 is Column One, G0425 is Column Two—G0425 denies G0426 G0104 is Column One, G0426 is Column Two—G0426 denies G0427 G0104 is Column One, G0427 is Column Two—G0427 denies G0463 G0104 is Column One, G0463 is Column Two—G0463 denies G0471 G0104 is Column One, G0471 is Column Two—G0471 denies G0508 G0104 is Column One, G0508 is Column Two—G0508 denies G0509 G0104 is Column One, G0509 is Column Two—G0509 denies MUE units per patient per date of service: 1