NCCI edits for HCPCS G0399
CMS lists 53 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 50 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.
- 0733T 0733T denies
- 36591 36591 denies
- 36592 36592 denies
- 92270 92270 denies
- 93224 93224 denies
- 93225 93225 denies
- 93226 93226 denies
- 93227 93227 denies
- 93241 93241 denies
- 93242 93242 denies
- 93243 93243 denies
- 93244 93244 denies
- 93245 93245 denies
- 93246 93246 denies
- 93247 93247 denies
- 93248 93248 denies
- 94681 94681 denies
- 94726 94726 denies
- 94728 94728 denies
- 94760 94760 denies
- 94761 94761 denies
- 94762 94762 denies
- 95705 95705 denies
- 95706 95706 denies
- 95707 95707 denies
- 95711 95711 denies
- 95712 95712 denies
- 95713 95713 denies
- 95717 95717 denies
- 95718 95718 denies
- 95782 G0399 denies
- 95783 G0399 denies
- 95800 G0399 denies
- 95801 G0399 denies
- 95805 G0399 denies
- 95806 G0399 denies
- 95807 G0399 denies
- 95808 G0399 denies
- 95810 G0399 denies
- 95811 G0399 denies
- 95819 95819 denies
- 95822 95822 denies
- 95824 95824 denies
- 96523 96523 denies
- 98975 98975 denies
- 98976 98976 denies
- 98977 98977 denies
- 99453 99453 denies
- 99454 99454 denies
- 99473 99473 denies
Showing 50 of 53. The plain-text version contains every pair.
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.
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 0937T 0937T denies
- 0938T 0938T denies
- 0939T 0939T denies
- 0940T 0940T denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 94200 94200 denies
- 94617 94617 denies
- 94618 94618 denies
- 95700 95700 denies
- 95708 95708 denies
- 95709 95709 denies
- 95710 95710 denies
- 95714 95714 denies
- 95715 95715 denies
- 95716 95716 denies
- 95719 95719 denies
- 95720 95720 denies
- 95721 95721 denies
- 95722 95722 denies
- 95723 95723 denies
- 95724 95724 denies
- 95725 95725 denies
- 95726 95726 denies
- 95812 95812 denies
- 95813 95813 denies
- 95816 95816 denies
- 95860 95860 denies
- 95861 95861 denies
- 95863 95863 denies
- 95864 95864 denies
- 95865 95865 denies
- 95866 95866 denies
- 95867 95867 denies
- 95868 95868 denies
- 95869 95869 denies
- 95870 95870 denies
- 95872 95872 denies
- 95954 95954 denies
- 95955 95955 denies
- 95957 95957 denies
- 95958 95958 denies
- 95961 95961 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.