NCCI edits for HCPCS G0278
CMS lists 34 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 30 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.
- 34701 G0278 denies
- 34702 G0278 denies
- 34703 G0278 denies
- 34704 G0278 denies
- 34705 G0278 denies
- 34706 G0278 denies
- 34709 G0278 denies
- 34712 G0278 denies
- 34713 G0278 denies
- 34714 G0278 denies
- 34715 G0278 denies
- 34716 G0278 denies
- 34812 G0278 denies
- 34820 G0278 denies
- 34830 G0278 denies
- 34831 G0278 denies
- 34832 G0278 denies
- 34833 G0278 denies
- 34834 G0278 denies
- 34841 G0278 denies
- 34842 G0278 denies
- 34843 G0278 denies
- 34844 G0278 denies
- 34845 G0278 denies
- 34846 G0278 denies
- 34847 G0278 denies
- 34848 G0278 denies
- 36140 36140 denies
- 36200 36200 denies
- 36591 36591 denies
- 36592 36592 denies
- 75630 75630 denies
- 75716 75716 denies
- 96523 96523 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.
- 11000 11000 denies
- 11001 11001 denies
- 11004 11004 denies
- 11005 11005 denies
- 11006 11006 denies
- 11042 11042 denies
- 11043 11043 denies
- 11044 11044 denies
- 11045 11045 denies
- 11046 11046 denies
- 11047 11047 denies
- 36245 36245 denies
- 36246 36246 denies
- 36247 36247 denies
- 75625 75625 denies
- 75710 75710 denies
- 76000 76000 denies
- 76942 76942 denies
- 76998 76998 denies
- 77001 77001 denies
- 77002 77002 denies
- 97597 97597 denies
- 97598 97598 denies
- 97602 97602 denies
- 99446 99446 denies
- 99447 99447 denies
- 99448 99448 denies
- 99449 99449 denies
- 99451 99451 denies
- 99452 99452 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.