NCCI edits for HCPCS G0426
CMS lists 413 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 100 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.
- 00100 G0426 denies
- 00102 G0426 denies
- 00103 G0426 denies
- 00104 G0426 denies
- 00120 G0426 denies
- 00124 G0426 denies
- 00126 G0426 denies
- 00140 G0426 denies
- 00142 G0426 denies
- 00144 G0426 denies
- 00145 G0426 denies
- 00147 G0426 denies
- 00148 G0426 denies
- 00160 G0426 denies
- 00162 G0426 denies
- 00164 G0426 denies
- 00170 G0426 denies
- 00172 G0426 denies
- 00174 G0426 denies
- 00176 G0426 denies
- 00190 G0426 denies
- 00192 G0426 denies
- 00210 G0426 denies
- 00211 G0426 denies
- 00212 G0426 denies
- 00214 G0426 denies
- 00215 G0426 denies
- 00216 G0426 denies
- 00218 G0426 denies
- 00220 G0426 denies
- 00222 G0426 denies
- 00300 G0426 denies
- 00320 G0426 denies
- 00322 G0426 denies
- 00326 G0426 denies
- 00350 G0426 denies
- 00352 G0426 denies
- 00400 G0426 denies
- 00402 G0426 denies
- 00404 G0426 denies
- 00406 G0426 denies
- 00410 G0426 denies
- 00450 G0426 denies
- 00454 G0426 denies
- 00470 G0426 denies
- 00472 G0426 denies
- 00474 G0426 denies
- 00500 G0426 denies
- 00520 G0426 denies
- 00522 G0426 denies
Showing 50 of 413. 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.
- 0884T G0426 denies
- 0886T G0426 denies
- 0889T G0426 denies
- 11719 G0426 denies
- 11720 G0426 denies
- 11721 G0426 denies
- 38206 G0426 denies
- 38225 G0426 denies
- 43752 43752 denies
- 77600 G0426 denies
- 77605 G0426 denies
- 77610 G0426 denies
- 77615 G0426 denies
- 77620 G0426 denies
- 90847 G0426 denies
- 90849 G0426 denies
- 90853 G0426 denies
- 90935 G0426 denies
- 90937 G0426 denies
- 90945 G0426 denies
- 90947 G0426 denies
- 93793 93793 denies
- 94644 94644 denies
- 95004 G0426 denies
- 95012 G0426 denies
- 95017 G0426 denies
- 95018 G0426 denies
- 95024 G0426 denies
- 95027 G0426 denies
- 95028 G0426 denies
- 95044 G0426 denies
- 95052 G0426 denies
- 95056 G0426 denies
- 95060 G0426 denies
- 95065 G0426 denies
- 95070 G0426 denies
- 95076 G0426 denies
- 95079 G0426 denies
- 96020 96020 denies
- 96112 G0426 denies
- 96113 G0426 denies
- 96116 96116 denies
- 96360 96360 denies
- 96365 96365 denies
- 96369 96369 denies
- 96372 96372 denies
- 96373 96373 denies
- 96374 96374 denies
- 96377 96377 denies
- 96401 96401 denies
Showing 50 of 100. The plain-text version contains every pair.
NCCI edits are not a coverage determination or a substitute for the current CMS NCCI Policy Manual. Deleted pairs are excluded from this page.