NCCI edits for G0404
Code page: https://localishealth.com/hcpcs/G0404
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)
0903T    G0404 is Column One, 0903T is Column Two—0903T denies
0904T    G0404 is Column One, 0904T is Column Two—0904T denies
0905T    G0404 is Column One, 0905T is Column Two—0905T denies
36591    G0404 is Column One, 36591 is Column Two—36591 denies
36592    G0404 is Column One, 36592 is Column Two—36592 denies
96523    G0404 is Column One, 96523 is Column Two—96523 denies
G0403    G0403 is Column One, G0404 is Column Two—G0404 denies

BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1)
93000    G0404 is Column One, 93000 is Column Two—93000 denies
93005    G0404 is Column One, 93005 is Column Two—93005 denies
93010    G0404 is Column One, 93010 is Column Two—93010 denies
93040    G0404 is Column One, 93040 is Column Two—93040 denies
93041    G0404 is Column One, 93041 is Column Two—93041 denies
93042    G0404 is Column One, 93042 is Column Two—93042 denies

MUE units per patient per date of service: 1