NCCI edits for HCPCS G0247
CMS lists 30 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 11 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, and it is the Column Two code that is denied while Column One is paid.
- 0552T 0552T denies
- 11042 11042 denies
- 11055 11055 denies
- 11056 11056 denies
- 11057 11057 denies
- 11305 11305 denies
- 11306 11306 denies
- 11307 11307 denies
- 11308 11308 denies
- 11719 11719 denies
- 11720 11720 denies
- 11721 11721 denies
- 36591 36591 denies
- 36592 36592 denies
- 96523 96523 denies
- 97597 97597 denies
- 97598 97598 denies
- 97602 97602 denies
- 97605 97605 denies
- 97606 97606 denies
- 97607 97607 denies
- 97608 97608 denies
- 97610 97610 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 denies
- G0127 G0127 denies
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.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.