NCCI edits for HCPCS G0423
CMS lists 11 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 44 pairs with modifier indicator 1, where an NCCI-associated modifier may be allowed when the documentation supports it.
NCCI release: Q3 2026. Source: CMS National Correct Coding Initiative (NCCI) Edits. Complete plain-text list.
Check a paired code Copy link
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.
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.
- 0596T 0596T denies
- 0597T 0597T denies
- 0903T 0903T denies
- 0904T 0904T denies
- 0905T 0905T denies
- 36000 36000 denies
- 36410 36410 denies
- 51701 51701 denies
- 51702 51702 denies
- 51703 51703 denies
- 93000 93000 denies
- 93005 93005 denies
- 93010 93010 denies
- 93015 93015 denies
- 93017 93017 denies
- 93018 93018 denies
- 93025 93025 denies
- 93040 93040 denies
- 93041 93041 denies
- 93042 93042 denies
- 93268 93268 denies
- 93351 G0423 denies
- 94625 94625 denies
- 94626 94626 denies
- 97110 97110 denies
- 97112 97112 denies
- 97116 97116 denies
- 97140 97140 denies
- 97150 97150 denies
- 97161 97161 denies
- 97162 97162 denies
- 97163 97163 denies
- 97164 97164 denies
- 97165 97165 denies
- 97166 97166 denies
- 97167 97167 denies
- 97168 97168 denies
- 97530 97530 denies
- 97750 97750 denies
- 97802 97802 denies
- 97803 97803 denies
- 97804 97804 denies
- G0422 G0423 denies
- G0471 G0471 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.