NCCI edits for HCPCS G0250
CMS lists 49 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 88 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.
- 0578T 0578T denies
- 36591 36591 denies
- 36592 36592 denies
- 93294 93294 denies
- 93295 93295 denies
- 93297 93297 denies
- 93298 93298 denies
- 93793 93793 denies
- 96523 96523 denies
- 98980 98980 denies
- 99091 99091 denies
- 99221 G0250 denies
- 99222 G0250 denies
- 99223 G0250 denies
- 99231 G0250 denies
- 99232 G0250 denies
- 99233 G0250 denies
- 99234 G0250 denies
- 99235 G0250 denies
- 99236 G0250 denies
- 99238 G0250 denies
- 99239 G0250 denies
- 99291 G0250 denies
- 99292 G0250 denies
- 99304 G0250 denies
- 99305 G0250 denies
- 99306 G0250 denies
- 99307 G0250 denies
- 99308 G0250 denies
- 99309 G0250 denies
- 99310 G0250 denies
- 99315 G0250 denies
- 99316 G0250 denies
- 99452 99452 denies
- 99468 G0250 denies
- 99469 G0250 denies
- 99471 G0250 denies
- 99472 G0250 denies
- 99473 99473 denies
- 99474 99474 denies
- 99475 G0250 denies
- 99476 G0250 denies
- 99477 G0250 denies
- 99478 G0250 denies
- 99479 G0250 denies
- 99480 G0250 denies
- G0406 G0250 denies
- G0407 G0250 denies
- G0408 G0250 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.
- 0591T G0250 denies
- 0592T G0250 denies
- 0593T G0250 denies
- 95251 G0250 denies
- 95717 G0250 denies
- 95718 G0250 denies
- 95719 G0250 denies
- 95720 G0250 denies
- 95721 G0250 denies
- 95722 G0250 denies
- 95723 G0250 denies
- 95724 G0250 denies
- 95725 G0250 denies
- 95726 G0250 denies
- 95803 G0250 denies
- 95836 G0250 denies
- 97750 97750 denies
- 98000 G0250 denies
- 98001 G0250 denies
- 98002 G0250 denies
- 98003 G0250 denies
- 98004 G0250 denies
- 98005 G0250 denies
- 98006 G0250 denies
- 98007 G0250 denies
- 98008 G0250 denies
- 98009 G0250 denies
- 98010 G0250 denies
- 98011 G0250 denies
- 98012 G0250 denies
- 98013 G0250 denies
- 98014 G0250 denies
- 98015 G0250 denies
- 98016 G0250 denies
- 98966 G0250 denies
- 98967 G0250 denies
- 98968 G0250 denies
- 98970 G0250 denies
- 98971 G0250 denies
- 98972 G0250 denies
- 98978 G0250 denies
- 99202 G0250 denies
- 99203 G0250 denies
- 99204 G0250 denies
- 99205 G0250 denies
- 99211 G0250 denies
- 99212 G0250 denies
- 99213 G0250 denies
- 99214 G0250 denies
- 99215 G0250 denies
Showing 50 of 88. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.