NCCI edits for G0455 Code page: https://localishealth.com/hcpcs/G0455 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) 64461 G0455 is Column One, 64461 is Column Two—64461 denies 64462 G0455 is Column One, 64462 is Column Two—64462 denies 64463 G0455 is Column One, 64463 is Column Two—64463 denies 64486 G0455 is Column One, 64486 is Column Two—64486 denies 64487 G0455 is Column One, 64487 is Column Two—64487 denies 64488 G0455 is Column One, 64488 is Column Two—64488 denies 64489 G0455 is Column One, 64489 is Column Two—64489 denies 99446 G0455 is Column One, 99446 is Column Two—99446 denies 99447 G0455 is Column One, 99447 is Column Two—99447 denies 99448 G0455 is Column One, 99448 is Column Two—99448 denies 99449 G0455 is Column One, 99449 is Column Two—99449 denies 99451 G0455 is Column One, 99451 is Column Two—99451 denies 99452 G0455 is Column One, 99452 is Column Two—99452 denies BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1) 64466 G0455 is Column One, 64466 is Column Two—64466 denies 64467 G0455 is Column One, 64467 is Column Two—64467 denies 64468 G0455 is Column One, 64468 is Column Two—64468 denies 64469 G0455 is Column One, 64469 is Column Two—64469 denies 64473 G0455 is Column One, 64473 is Column Two—64473 denies 64474 G0455 is Column One, 64474 is Column Two—64474 denies 92012 G0455 is Column One, 92012 is Column Two—92012 denies 92014 G0455 is Column One, 92014 is Column Two—92014 denies 96361 G0455 is Column One, 96361 is Column Two—96361 denies 96366 G0455 is Column One, 96366 is Column Two—96366 denies 96367 G0455 is Column One, 96367 is Column Two—96367 denies 96368 G0455 is Column One, 96368 is Column Two—96368 denies 99211 G0455 is Column One, 99211 is Column Two—99211 denies 99212 G0455 is Column One, 99212 is Column Two—99212 denies 99213 G0455 is Column One, 99213 is Column Two—99213 denies 99214 G0455 is Column One, 99214 is Column Two—99214 denies 99215 G0455 is Column One, 99215 is Column Two—99215 denies 99221 G0455 is Column One, 99221 is Column Two—99221 denies 99222 G0455 is Column One, 99222 is Column Two—99222 denies 99223 G0455 is Column One, 99223 is Column Two—99223 denies 99231 G0455 is Column One, 99231 is Column Two—99231 denies 99232 G0455 is Column One, 99232 is Column Two—99232 denies 99233 G0455 is Column One, 99233 is Column Two—99233 denies 99234 G0455 is Column One, 99234 is Column Two—99234 denies 99235 G0455 is Column One, 99235 is Column Two—99235 denies 99236 G0455 is Column One, 99236 is Column Two—99236 denies 99238 G0455 is Column One, 99238 is Column Two—99238 denies 99239 G0455 is Column One, 99239 is Column Two—99239 denies 99242 G0455 is Column One, 99242 is Column Two—99242 denies 99243 G0455 is Column One, 99243 is Column Two—99243 denies 99244 G0455 is Column One, 99244 is Column Two—99244 denies 99245 G0455 is Column One, 99245 is Column Two—99245 denies 99252 G0455 is Column One, 99252 is Column Two—99252 denies 99253 G0455 is Column One, 99253 is Column Two—99253 denies 99254 G0455 is Column One, 99254 is Column Two—99254 denies 99255 G0455 is Column One, 99255 is Column Two—99255 denies 99291 G0455 is Column One, 99291 is Column Two—99291 denies 99292 G0455 is Column One, 99292 is Column Two—99292 denies 99304 G0455 is Column One, 99304 is Column Two—99304 denies 99305 G0455 is Column One, 99305 is Column Two—99305 denies 99306 G0455 is Column One, 99306 is Column Two—99306 denies 99307 G0455 is Column One, 99307 is Column Two—99307 denies 99308 G0455 is Column One, 99308 is Column Two—99308 denies 99309 G0455 is Column One, 99309 is Column Two—99309 denies 99310 G0455 is Column One, 99310 is Column Two—99310 denies 99315 G0455 is Column One, 99315 is Column Two—99315 denies 99316 G0455 is Column One, 99316 is Column Two—99316 denies 99347 G0455 is Column One, 99347 is Column Two—99347 denies 99348 G0455 is Column One, 99348 is Column Two—99348 denies 99349 G0455 is Column One, 99349 is Column Two—99349 denies 99350 G0455 is Column One, 99350 is Column Two—99350 denies 99374 G0455 is Column One, 99374 is Column Two—99374 denies 99375 G0455 is Column One, 99375 is Column Two—99375 denies 99377 G0455 is Column One, 99377 is Column Two—99377 denies 99378 G0455 is Column One, 99378 is Column Two—99378 denies 99495 G0455 is Column One, 99495 is Column Two—99495 denies 99496 G0455 is Column One, 99496 is Column Two—99496 denies G0463 G0455 is Column One, G0463 is Column Two—G0463 denies MUE units per patient per date of service: 1