NCCI edits for HCPCS G0239
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 32 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.
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.
- 94010 94010 denies
- 94060 94060 denies
- 94150 94150 denies
- 94200 94200 denies
- 94375 94375 denies
- 94450 94450 denies
- 94680 94680 denies
- 94681 94681 denies
- 94690 94690 denies
- 94726 94726 denies
- 94727 94727 denies
- 94728 94728 denies
- 94729 94729 denies
- 94762 94762 denies
- 97110 97110 denies
- 97112 97112 denies
- 97150 97150 denies
- 97161 97161 denies
- 97162 97162 denies
- 97163 97163 denies
- 97164 97164 denies
- 97165 97165 denies
- 97166 97166 denies
- 97167 97167 denies
- 97168 97168 denies
- 97530 97530 denies
- 97750 97750 denies
- 97802 97802 denies
- 97803 97803 denies
- 97804 97804 denies
- G0237 G0237 denies
- G0238 G0238 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.