NCCI edits for HCPCS G0159
CMS lists 7 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 38 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.
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.
- 0552T 0552T denies
- 97012 97012 denies
- 97016 97016 denies
- 97018 97018 denies
- 97022 97022 denies
- 97024 97024 denies
- 97026 97026 denies
- 97028 97028 denies
- 97032 97032 denies
- 97033 97033 denies
- 97034 97034 denies
- 97035 97035 denies
- 97036 97036 denies
- 97110 97110 denies
- 97112 97112 denies
- 97113 97113 denies
- 97116 97116 denies
- 97124 97124 denies
- 97140 97140 denies
- 97150 97150 denies
- 97161 97161 denies
- 97162 97162 denies
- 97163 97163 denies
- 97164 97164 denies
- 97530 97530 denies
- 97533 97533 denies
- 97535 97535 denies
- 97537 97537 denies
- 97542 97542 denies
- 97545 97545 denies
- 97546 97546 denies
- 97750 97750 denies
- 97760 97760 denies
- 97761 97761 denies
- 97763 97763 denies
- G0281 G0281 denies
- G0283 G0283 denies
- G0329 G0329 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.