NCCI edits for G0289
Code page: https://localishealth.com/hcpcs/G0289
NCCI release: 2026 D
Source: https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

NOT SEPARATELY PAYABLE TOGETHER—NO NCCI-ASSOCIATED MODIFIER BYPASSES THE EDIT (modifier indicator 0)
36591    G0289 is Column One, 36591 is Column Two—36591 denies
36592    G0289 is Column One, 36592 is Column Two—36592 denies
96523    G0289 is Column One, 96523 is Column Two—96523 denies
99446    G0289 is Column One, 99446 is Column Two—99446 denies
99447    G0289 is Column One, 99447 is Column Two—99447 denies
99448    G0289 is Column One, 99448 is Column Two—99448 denies
99449    G0289 is Column One, 99449 is Column Two—99449 denies
99451    G0289 is Column One, 99451 is Column Two—99451 denies
99452    G0289 is Column One, 99452 is Column Two—99452 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
11000    G0289 is Column One, 11000 is Column Two—11000 denies
11001    G0289 is Column One, 11001 is Column Two—11001 denies
11004    G0289 is Column One, 11004 is Column Two—11004 denies
11005    G0289 is Column One, 11005 is Column Two—11005 denies
11006    G0289 is Column One, 11006 is Column Two—11006 denies
11042    G0289 is Column One, 11042 is Column Two—11042 denies
11043    G0289 is Column One, 11043 is Column Two—11043 denies
11044    G0289 is Column One, 11044 is Column Two—11044 denies
11045    G0289 is Column One, 11045 is Column Two—11045 denies
11046    G0289 is Column One, 11046 is Column Two—11046 denies
11047    G0289 is Column One, 11047 is Column Two—11047 denies
29880    29880 is Column One, G0289 is Column Two—G0289 denies
29881    29881 is Column One, G0289 is Column Two—G0289 denies
97597    G0289 is Column One, 97597 is Column Two—97597 denies
97598    G0289 is Column One, 97598 is Column Two—97598 denies
97602    G0289 is Column One, 97602 is Column Two—97602 denies

MUE units per patient per date of service: 1