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, 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.
- 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.