NCCI edits for G0428 Code page: https://localishealth.com/hcpcs/G0428 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) 01250 G0428 is Column One, 01250 is Column Two—01250 denies 01320 G0428 is Column One, 01320 is Column Two—01320 denies 01400 G0428 is Column One, 01400 is Column Two—01400 denies 0213T G0428 is Column One, 0213T is Column Two—0213T denies 0216T G0428 is Column One, 0216T is Column Two—0216T denies 29874 G0428 is Column One, 29874 is Column Two—29874 denies 29877 G0428 is Column One, 29877 is Column Two—29877 denies 36591 G0428 is Column One, 36591 is Column Two—36591 denies 36592 G0428 is Column One, 36592 is Column Two—36592 denies 62320 G0428 is Column One, 62320 is Column Two—62320 denies 62321 G0428 is Column One, 62321 is Column Two—62321 denies 62322 G0428 is Column One, 62322 is Column Two—62322 denies 62323 G0428 is Column One, 62323 is Column Two—62323 denies 62324 G0428 is Column One, 62324 is Column Two—62324 denies 62325 G0428 is Column One, 62325 is Column Two—62325 denies 62326 G0428 is Column One, 62326 is Column Two—62326 denies 62327 G0428 is Column One, 62327 is Column Two—62327 denies 64400 G0428 is Column One, 64400 is Column Two—64400 denies 64405 G0428 is Column One, 64405 is Column Two—64405 denies 64408 G0428 is Column One, 64408 is Column Two—64408 denies 64415 G0428 is Column One, 64415 is Column Two—64415 denies 64416 G0428 is Column One, 64416 is Column Two—64416 denies 64417 G0428 is Column One, 64417 is Column Two—64417 denies 64418 G0428 is Column One, 64418 is Column Two—64418 denies 64420 G0428 is Column One, 64420 is Column Two—64420 denies 64421 G0428 is Column One, 64421 is Column Two—64421 denies 64425 G0428 is Column One, 64425 is Column Two—64425 denies 64430 G0428 is Column One, 64430 is Column Two—64430 denies 64435 G0428 is Column One, 64435 is Column Two—64435 denies 64445 G0428 is Column One, 64445 is Column Two—64445 denies 64446 G0428 is Column One, 64446 is Column Two—64446 denies 64447 G0428 is Column One, 64447 is Column Two—64447 denies 64448 G0428 is Column One, 64448 is Column Two—64448 denies 64449 G0428 is Column One, 64449 is Column Two—64449 denies 64451 G0428 is Column One, 64451 is Column Two—64451 denies 64461 G0428 is Column One, 64461 is Column Two—64461 denies 64463 G0428 is Column One, 64463 is Column Two—64463 denies 64479 G0428 is Column One, 64479 is Column Two—64479 denies 64483 G0428 is Column One, 64483 is Column Two—64483 denies 64490 G0428 is Column One, 64490 is Column Two—64490 denies 64493 G0428 is Column One, 64493 is Column Two—64493 denies 64505 G0428 is Column One, 64505 is Column Two—64505 denies 64510 G0428 is Column One, 64510 is Column Two—64510 denies 64517 G0428 is Column One, 64517 is Column Two—64517 denies 64520 G0428 is Column One, 64520 is Column Two—64520 denies 64530 G0428 is Column One, 64530 is Column Two—64530 denies 69990 G0428 is Column One, 69990 is Column Two—69990 denies 96523 G0428 is Column One, 96523 is Column Two—96523 denies 99155 G0428 is Column One, 99155 is Column Two—99155 denies 99156 G0428 is Column One, 99156 is Column Two—99156 denies 99157 G0428 is Column One, 99157 is Column Two—99157 denies 99446 G0428 is Column One, 99446 is Column Two—99446 denies 99447 G0428 is Column One, 99447 is Column Two—99447 denies 99448 G0428 is Column One, 99448 is Column Two—99448 denies 99449 G0428 is Column One, 99449 is Column Two—99449 denies 99451 G0428 is Column One, 99451 is Column Two—99451 denies 99452 G0428 is Column One, 99452 is Column Two—99452 denies BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1) 0566T G0428 is Column One, 0566T is Column Two—0566T denies 0596T G0428 is Column One, 0596T is Column Two—0596T denies 0597T G0428 is Column One, 0597T is Column Two—0597T denies 0708T G0428 is Column One, 0708T is Column Two—0708T denies 0709T G0428 is Column One, 0709T is Column Two—0709T denies 0903T G0428 is Column One, 0903T is Column Two—0903T denies 0904T G0428 is Column One, 0904T is Column Two—0904T denies 0905T G0428 is Column One, 0905T is Column Two—0905T denies 11010 11010 is Column One, G0428 is Column Two—G0428 denies 11011 11011 is Column One, G0428 is Column Two—G0428 denies 11012 11012 is Column One, G0428 is Column Two—G0428 denies 20600 G0428 is Column One, 20600 is Column Two—20600 denies 20604 G0428 is Column One, 20604 is Column Two—20604 denies 20605 G0428 is Column One, 20605 is Column Two—20605 denies 20606 G0428 is Column One, 20606 is Column Two—20606 denies 20610 G0428 is Column One, 20610 is Column Two—20610 denies 20611 G0428 is Column One, 20611 is Column Two—20611 denies 20704 G0428 is Column One, 20704 is Column Two—20704 denies 27328 27328 is Column One, G0428 is Column Two—G0428 denies 27329 27329 is Column One, G0428 is Column Two—G0428 denies 27331 27331 is Column One, G0428 is Column Two—G0428 denies 27332 27332 is Column One, G0428 is Column Two—G0428 denies 27333 27333 is Column One, G0428 is Column Two—G0428 denies 27339 27339 is Column One, G0428 is Column Two—G0428 denies 27345 27345 is Column One, G0428 is Column Two—G0428 denies 27347 G0428 is Column One, 27347 is Column Two—27347 denies 27364 27364 is Column One, G0428 is Column Two—G0428 denies 27403 27403 is Column One, G0428 is Column Two—G0428 denies 27437 27437 is Column One, G0428 is Column Two—G0428 denies 27438 27438 is Column One, G0428 is Column Two—G0428 denies 27440 27440 is Column One, G0428 is Column Two—G0428 denies 27441 27441 is Column One, G0428 is Column Two—G0428 denies 27442 27442 is Column One, G0428 is Column Two—G0428 denies 27443 27443 is Column One, G0428 is Column Two—G0428 denies 27446 27446 is Column One, G0428 is Column Two—G0428 denies 27447 27447 is Column One, G0428 is Column Two—G0428 denies 27455 27455 is Column One, G0428 is Column Two—G0428 denies 27486 27486 is Column One, G0428 is Column Two—G0428 denies 27487 27487 is Column One, G0428 is Column Two—G0428 denies 27570 G0428 is Column One, 27570 is Column Two—27570 denies 27580 27580 is Column One, G0428 is Column Two—G0428 denies 29868 29868 is Column One, G0428 is Column Two—G0428 denies 29870 G0428 is Column One, 29870 is Column Two—29870 denies 29871 G0428 is Column One, 29871 is Column Two—29871 denies 29875 G0428 is Column One, 29875 is Column Two—29875 denies 29880 29880 is Column One, G0428 is Column Two—G0428 denies 29881 G0428 is Column One, 29881 is Column Two—29881 denies 29882 G0428 is Column One, 29882 is Column Two—29882 denies 29883 G0428 is Column One, 29883 is Column Two—29883 denies 29884 G0428 is Column One, 29884 is Column Two—29884 denies 36000 G0428 is Column One, 36000 is Column Two—36000 denies 36400 G0428 is Column One, 36400 is Column Two—36400 denies 36405 G0428 is Column One, 36405 is Column Two—36405 denies 36406 G0428 is Column One, 36406 is Column Two—36406 denies 36410 G0428 is Column One, 36410 is Column Two—36410 denies 36420 G0428 is Column One, 36420 is Column Two—36420 denies 36425 G0428 is Column One, 36425 is Column Two—36425 denies 36430 G0428 is Column One, 36430 is Column Two—36430 denies 36440 G0428 is Column One, 36440 is Column Two—36440 denies 36600 G0428 is Column One, 36600 is Column Two—36600 denies 36640 G0428 is Column One, 36640 is Column Two—36640 denies 43752 G0428 is Column One, 43752 is Column Two—43752 denies 51701 G0428 is Column One, 51701 is Column Two—51701 denies 51702 G0428 is Column One, 51702 is Column Two—51702 denies 51703 G0428 is Column One, 51703 is Column Two—51703 denies 61650 G0428 is Column One, 61650 is Column Two—61650 denies 64450 G0428 is Column One, 64450 is Column Two—64450 denies 64454 G0428 is Column One, 64454 is Column Two—64454 denies 64466 G0428 is Column One, 64466 is Column Two—64466 denies 64467 G0428 is Column One, 64467 is Column Two—64467 denies 64468 G0428 is Column One, 64468 is Column Two—64468 denies 64469 G0428 is Column One, 64469 is Column Two—64469 denies 64473 G0428 is Column One, 64473 is Column Two—64473 denies 64474 G0428 is Column One, 64474 is Column Two—64474 denies 64486 G0428 is Column One, 64486 is Column Two—64486 denies 64487 G0428 is Column One, 64487 is Column Two—64487 denies 64488 G0428 is Column One, 64488 is Column Two—64488 denies 64489 G0428 is Column One, 64489 is Column Two—64489 denies 76000 G0428 is Column One, 76000 is Column Two—76000 denies 77001 G0428 is Column One, 77001 is Column Two—77001 denies 77002 G0428 is Column One, 77002 is Column Two—77002 denies 93000 G0428 is Column One, 93000 is Column Two—93000 denies 93005 G0428 is Column One, 93005 is Column Two—93005 denies 93010 G0428 is Column One, 93010 is Column Two—93010 denies 93040 G0428 is Column One, 93040 is Column Two—93040 denies 93041 G0428 is Column One, 93041 is Column Two—93041 denies 93042 G0428 is Column One, 93042 is Column Two—93042 denies 93318 G0428 is Column One, 93318 is Column Two—93318 denies 93355 G0428 is Column One, 93355 is Column Two—93355 denies 94002 G0428 is Column One, 94002 is Column Two—94002 denies 94200 G0428 is Column One, 94200 is Column Two—94200 denies 94680 G0428 is Column One, 94680 is Column Two—94680 denies 94681 G0428 is Column One, 94681 is Column Two—94681 denies 94690 G0428 is Column One, 94690 is Column Two—94690 denies 95812 G0428 is Column One, 95812 is Column Two—95812 denies 95813 G0428 is Column One, 95813 is Column Two—95813 denies 95816 G0428 is Column One, 95816 is Column Two—95816 denies 95819 G0428 is Column One, 95819 is Column Two—95819 denies 95822 G0428 is Column One, 95822 is Column Two—95822 denies 95829 G0428 is Column One, 95829 is Column Two—95829 denies 95955 G0428 is Column One, 95955 is Column Two—95955 denies 96360 G0428 is Column One, 96360 is Column Two—96360 denies 96365 G0428 is Column One, 96365 is Column Two—96365 denies 96372 G0428 is Column One, 96372 is Column Two—96372 denies 96374 G0428 is Column One, 96374 is Column Two—96374 denies 96375 G0428 is Column One, 96375 is Column Two—96375 denies 96376 G0428 is Column One, 96376 is Column Two—96376 denies 96377 G0428 is Column One, 96377 is Column Two—96377 denies G0471 G0428 is Column One, G0471 is Column Two—G0471 denies MUE units per patient per date of service: 0