NCCI edits for HCPCS G0451
CMS lists 6 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 18 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.
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.
- 96105 G0451 denies
- 96116 G0451 denies
- 96121 G0451 denies
- 96125 96125 denies
- 96130 G0451 denies
- 96131 G0451 denies
- 96132 G0451 denies
- 96133 G0451 denies
- 96136 G0451 denies
- 96137 G0451 denies
- 96138 G0451 denies
- 96139 G0451 denies
- 96146 96146 denies
- 96156 G0451 denies
- 96158 G0451 denies
- 96159 G0451 denies
- 96160 96160 denies
- 96161 96161 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.