NCCI edits for HCPCS G0453
CMS lists 697 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 51 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 40 units 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.
- 00104 G0453 denies
- 00210 G0453 denies
- 00211 G0453 denies
- 00212 G0453 denies
- 00214 G0453 denies
- 00215 G0453 denies
- 00216 G0453 denies
- 00218 G0453 denies
- 00220 G0453 denies
- 00222 G0453 denies
- 00300 G0453 denies
- 00400 G0453 denies
- 00600 G0453 denies
- 00604 G0453 denies
- 00620 G0453 denies
- 00625 G0453 denies
- 00626 G0453 denies
- 00630 G0453 denies
- 00632 G0453 denies
- 00635 G0453 denies
- 00640 G0453 denies
- 00670 G0453 denies
- 00700 G0453 denies
- 00730 G0453 denies
- 00800 G0453 denies
- 01250 G0453 denies
- 01320 G0453 denies
- 01470 G0453 denies
- 01610 G0453 denies
- 01710 G0453 denies
- 01810 G0453 denies
- 01924 G0453 denies
- 01925 G0453 denies
- 01926 G0453 denies
- 01930 G0453 denies
- 01932 G0453 denies
- 01933 G0453 denies
- 01937 G0453 denies
- 01938 G0453 denies
- 01939 G0453 denies
- 01940 G0453 denies
- 01941 G0453 denies
- 01942 G0453 denies
- 01991 G0453 denies
- 01992 G0453 denies
- 0200T G0453 denies
- 0201T G0453 denies
- 0202T G0453 denies
- 0213T G0453 denies
- 0214T G0453 denies
Showing 50 of 697. 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.
- 33281 G0453 denies
- 33288 G0453 denies
- 51784 G0453 denies
- 51785 G0453 denies
- 60500 G0453 denies
- 60502 G0453 denies
- 60505 G0453 denies
- 95700 G0453 denies
- 95705 G0453 denies
- 95706 G0453 denies
- 95707 G0453 denies
- 95708 G0453 denies
- 95709 G0453 denies
- 95710 G0453 denies
- 95711 G0453 denies
- 95712 G0453 denies
- 95713 G0453 denies
- 95714 G0453 denies
- 95715 G0453 denies
- 95716 G0453 denies
- 95717 G0453 denies
- 95718 G0453 denies
- 95719 G0453 denies
- 95720 G0453 denies
- 95721 G0453 denies
- 95722 G0453 denies
- 95723 G0453 denies
- 95724 G0453 denies
- 95725 G0453 denies
- 95726 G0453 denies
- 95812 G0453 denies
- 95813 G0453 denies
- 95816 G0453 denies
- 95819 G0453 denies
- 95824 G0453 denies
- 95829 G0453 denies
- 95830 G0453 denies
- 95872 95872 denies
- 95875 95875 denies
- 95887 G0453 denies
- 95905 G0453 denies
- 95940 G0453 denies
- 95954 G0453 denies
- 95955 G0453 denies
- 95957 G0453 denies
- 95958 G0453 denies
- 95961 G0453 denies
- 95962 G0453 denies
- 95965 G0453 denies
- 95966 G0453 denies
Showing 50 of 51. 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.