NCCI edits for G0458 Code page: https://localishealth.com/hcpcs/G0458 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) 00860 G0458 is Column One, 00860 is Column Two—00860 denies 0213T G0458 is Column One, 0213T is Column Two—0213T denies 0216T G0458 is Column One, 0216T is Column Two—0216T denies 0433U G0458 is Column One, 0433U is Column Two—0433U denies 0596T G0458 is Column One, 0596T is Column Two—0596T denies 0597T G0458 is Column One, 0597T is Column Two—0597T denies 11920 G0458 is Column One, 11920 is Column Two—11920 denies 11921 G0458 is Column One, 11921 is Column Two—11921 denies 16000 G0458 is Column One, 16000 is Column Two—16000 denies 16020 G0458 is Column One, 16020 is Column Two—16020 denies 16025 G0458 is Column One, 16025 is Column Two—16025 denies 16030 G0458 is Column One, 16030 is Column Two—16030 denies 36591 G0458 is Column One, 36591 is Column Two—36591 denies 36592 G0458 is Column One, 36592 is Column Two—36592 denies 51701 G0458 is Column One, 51701 is Column Two—51701 denies 51702 G0458 is Column One, 51702 is Column Two—51702 denies 51703 G0458 is Column One, 51703 is Column Two—51703 denies 52000 G0458 is Column One, 52000 is Column Two—52000 denies 52250 G0458 is Column One, 52250 is Column Two—52250 denies 55875 G0458 is Column One, 55875 is Column Two—55875 denies 62320 G0458 is Column One, 62320 is Column Two—62320 denies 62321 G0458 is Column One, 62321 is Column Two—62321 denies 62322 G0458 is Column One, 62322 is Column Two—62322 denies 62323 G0458 is Column One, 62323 is Column Two—62323 denies 62324 G0458 is Column One, 62324 is Column Two—62324 denies 62325 G0458 is Column One, 62325 is Column Two—62325 denies 62326 G0458 is Column One, 62326 is Column Two—62326 denies 62327 G0458 is Column One, 62327 is Column Two—62327 denies 64400 G0458 is Column One, 64400 is Column Two—64400 denies 64405 G0458 is Column One, 64405 is Column Two—64405 denies 64408 G0458 is Column One, 64408 is Column Two—64408 denies 64415 G0458 is Column One, 64415 is Column Two—64415 denies 64416 G0458 is Column One, 64416 is Column Two—64416 denies 64417 G0458 is Column One, 64417 is Column Two—64417 denies 64418 G0458 is Column One, 64418 is Column Two—64418 denies 64420 G0458 is Column One, 64420 is Column Two—64420 denies 64421 G0458 is Column One, 64421 is Column Two—64421 denies 64425 G0458 is Column One, 64425 is Column Two—64425 denies 64430 G0458 is Column One, 64430 is Column Two—64430 denies 64435 G0458 is Column One, 64435 is Column Two—64435 denies 64445 G0458 is Column One, 64445 is Column Two—64445 denies 64446 G0458 is Column One, 64446 is Column Two—64446 denies 64447 G0458 is Column One, 64447 is Column Two—64447 denies 64448 G0458 is Column One, 64448 is Column Two—64448 denies 64449 G0458 is Column One, 64449 is Column Two—64449 denies 64450 G0458 is Column One, 64450 is Column Two—64450 denies 64451 G0458 is Column One, 64451 is Column Two—64451 denies 64454 G0458 is Column One, 64454 is Column Two—64454 denies 64455 G0458 is Column One, 64455 is Column Two—64455 denies 64461 G0458 is Column One, 64461 is Column Two—64461 denies 64463 G0458 is Column One, 64463 is Column Two—64463 denies 64466 G0458 is Column One, 64466 is Column Two—64466 denies 64467 G0458 is Column One, 64467 is Column Two—64467 denies 64468 G0458 is Column One, 64468 is Column Two—64468 denies 64469 G0458 is Column One, 64469 is Column Two—64469 denies 64473 G0458 is Column One, 64473 is Column Two—64473 denies 64474 G0458 is Column One, 64474 is Column Two—64474 denies 64479 G0458 is Column One, 64479 is Column Two—64479 denies 64480 G0458 is Column One, 64480 is Column Two—64480 denies 64483 G0458 is Column One, 64483 is Column Two—64483 denies 64484 G0458 is Column One, 64484 is Column Two—64484 denies 64486 G0458 is Column One, 64486 is Column Two—64486 denies 64487 G0458 is Column One, 64487 is Column Two—64487 denies 64488 G0458 is Column One, 64488 is Column Two—64488 denies 64489 G0458 is Column One, 64489 is Column Two—64489 denies 64490 G0458 is Column One, 64490 is Column Two—64490 denies 64491 G0458 is Column One, 64491 is Column Two—64491 denies 64492 G0458 is Column One, 64492 is Column Two—64492 denies 64493 G0458 is Column One, 64493 is Column Two—64493 denies 64494 G0458 is Column One, 64494 is Column Two—64494 denies 64495 G0458 is Column One, 64495 is Column Two—64495 denies 64505 G0458 is Column One, 64505 is Column Two—64505 denies 64510 G0458 is Column One, 64510 is Column Two—64510 denies 64517 G0458 is Column One, 64517 is Column Two—64517 denies 64520 G0458 is Column One, 64520 is Column Two—64520 denies 64530 G0458 is Column One, 64530 is Column Two—64530 denies 69990 G0458 is Column One, 69990 is Column Two—69990 denies 76873 G0458 is Column One, 76873 is Column Two—76873 denies 77767 77767 is Column One, G0458 is Column Two—G0458 denies 77768 77768 is Column One, G0458 is Column Two—G0458 denies 77770 77770 is Column One, G0458 is Column Two—G0458 denies 77771 77771 is Column One, G0458 is Column Two—G0458 denies 77772 77772 is Column One, G0458 is Column Two—G0458 denies 77778 G0458 is Column One, 77778 is Column Two—77778 denies 79300 G0458 is Column One, 79300 is Column Two—79300 denies 90832 G0458 is Column One, 90832 is Column Two—90832 denies 90833 G0458 is Column One, 90833 is Column Two—90833 denies 90834 G0458 is Column One, 90834 is Column Two—90834 denies 90836 G0458 is Column One, 90836 is Column Two—90836 denies 90837 G0458 is Column One, 90837 is Column Two—90837 denies 90838 G0458 is Column One, 90838 is Column Two—90838 denies 90839 G0458 is Column One, 90839 is Column Two—90839 denies 90840 G0458 is Column One, 90840 is Column Two—90840 denies 90846 G0458 is Column One, 90846 is Column Two—90846 denies 90847 G0458 is Column One, 90847 is Column Two—90847 denies 90863 G0458 is Column One, 90863 is Column Two—90863 denies 96360 G0458 is Column One, 96360 is Column Two—96360 denies 96361 G0458 is Column One, 96361 is Column Two—96361 denies 96365 G0458 is Column One, 96365 is Column Two—96365 denies 96366 G0458 is Column One, 96366 is Column Two—96366 denies 96367 G0458 is Column One, 96367 is Column Two—96367 denies 96368 G0458 is Column One, 96368 is Column Two—96368 denies 96523 G0458 is Column One, 96523 is Column Two—96523 denies 97802 G0458 is Column One, 97802 is Column Two—97802 denies 97803 G0458 is Column One, 97803 is Column Two—97803 denies 97804 G0458 is Column One, 97804 is Column Two—97804 denies 99151 G0458 is Column One, 99151 is Column Two—99151 denies 99152 G0458 is Column One, 99152 is Column Two—99152 denies 99153 G0458 is Column One, 99153 is Column Two—99153 denies 99155 G0458 is Column One, 99155 is Column Two—99155 denies 99156 G0458 is Column One, 99156 is Column Two—99156 denies 99157 G0458 is Column One, 99157 is Column Two—99157 denies 99446 G0458 is Column One, 99446 is Column Two—99446 denies 99447 G0458 is Column One, 99447 is Column Two—99447 denies 99448 G0458 is Column One, 99448 is Column Two—99448 denies 99449 G0458 is Column One, 99449 is Column Two—99449 denies 99451 G0458 is Column One, 99451 is Column Two—99451 denies 99452 G0458 is Column One, 99452 is Column Two—99452 denies 99485 G0458 is Column One, 99485 is Column Two—99485 denies G0471 G0458 is Column One, G0471 is Column Two—G0471 denies G0500 G0458 is Column One, G0500 is Column Two—G0500 denies P9612 G0458 is Column One, P9612 is Column Two—P9612 denies BILLABLE TOGETHER ONLY WHEN AN NCCI-ASSOCIATED MODIFIER IS APPROPRIATE (modifier indicator 1) 0395T G0458 is Column One, 0395T is Column Two—0395T denies 0403U 0403U is Column One, G0458 is Column Two—G0458 denies 0424U G0458 is Column One, 0424U is Column Two—0424U denies 0903T G0458 is Column One, 0903T is Column Two—0903T denies 0904T G0458 is Column One, 0904T is Column Two—0904T denies 0905T G0458 is Column One, 0905T is Column Two—0905T denies 12001 G0458 is Column One, 12001 is Column Two—12001 denies 12002 G0458 is Column One, 12002 is Column Two—12002 denies 12004 G0458 is Column One, 12004 is Column Two—12004 denies 12005 G0458 is Column One, 12005 is Column Two—12005 denies 12006 G0458 is Column One, 12006 is Column Two—12006 denies 12007 G0458 is Column One, 12007 is Column Two—12007 denies 12011 G0458 is Column One, 12011 is Column Two—12011 denies 12013 G0458 is Column One, 12013 is Column Two—12013 denies 12014 G0458 is Column One, 12014 is Column Two—12014 denies 12015 G0458 is Column One, 12015 is Column Two—12015 denies 12016 G0458 is Column One, 12016 is Column Two—12016 denies 12017 G0458 is Column One, 12017 is Column Two—12017 denies 12018 G0458 is Column One, 12018 is Column Two—12018 denies 12020 G0458 is Column One, 12020 is Column Two—12020 denies 12021 G0458 is Column One, 12021 is Column Two—12021 denies 12031 G0458 is Column One, 12031 is Column Two—12031 denies 12032 G0458 is Column One, 12032 is Column Two—12032 denies 12034 G0458 is Column One, 12034 is Column Two—12034 denies 12035 G0458 is Column One, 12035 is Column Two—12035 denies 12036 G0458 is Column One, 12036 is Column Two—12036 denies 12037 G0458 is Column One, 12037 is Column Two—12037 denies 12041 G0458 is Column One, 12041 is Column Two—12041 denies 12042 G0458 is Column One, 12042 is Column Two—12042 denies 12044 G0458 is Column One, 12044 is Column Two—12044 denies 12045 G0458 is Column One, 12045 is Column Two—12045 denies 12046 G0458 is Column One, 12046 is Column Two—12046 denies 12047 G0458 is Column One, 12047 is Column Two—12047 denies 12051 G0458 is Column One, 12051 is Column Two—12051 denies 12052 G0458 is Column One, 12052 is Column Two—12052 denies 12053 G0458 is Column One, 12053 is Column Two—12053 denies 12054 G0458 is Column One, 12054 is Column Two—12054 denies 12055 G0458 is Column One, 12055 is Column Two—12055 denies 12056 G0458 is Column One, 12056 is Column Two—12056 denies 12057 G0458 is Column One, 12057 is Column Two—12057 denies 13100 G0458 is Column One, 13100 is Column Two—13100 denies 13101 G0458 is Column One, 13101 is Column Two—13101 denies 13102 G0458 is Column One, 13102 is Column Two—13102 denies 13120 G0458 is Column One, 13120 is Column Two—13120 denies 13121 G0458 is Column One, 13121 is Column Two—13121 denies 13122 G0458 is Column One, 13122 is Column Two—13122 denies 13131 G0458 is Column One, 13131 is Column Two—13131 denies 13132 G0458 is Column One, 13132 is Column Two—13132 denies 13133 G0458 is Column One, 13133 is Column Two—13133 denies 13151 G0458 is Column One, 13151 is Column Two—13151 denies 13152 G0458 is Column One, 13152 is Column Two—13152 denies 13153 G0458 is Column One, 13153 is Column Two—13153 denies 36000 G0458 is Column One, 36000 is Column Two—36000 denies 36400 G0458 is Column One, 36400 is Column Two—36400 denies 36405 G0458 is Column One, 36405 is Column Two—36405 denies 36406 G0458 is Column One, 36406 is Column Two—36406 denies 36410 G0458 is Column One, 36410 is Column Two—36410 denies 36420 G0458 is Column One, 36420 is Column Two—36420 denies 36425 G0458 is Column One, 36425 is Column Two—36425 denies 36430 G0458 is Column One, 36430 is Column Two—36430 denies 36440 G0458 is Column One, 36440 is Column Two—36440 denies 36600 G0458 is Column One, 36600 is Column Two—36600 denies 36640 G0458 is Column One, 36640 is Column Two—36640 denies 43752 G0458 is Column One, 43752 is Column Two—43752 denies 55920 G0458 is Column One, 55920 is Column Two—55920 denies 61650 G0458 is Column One, 61650 is Column Two—61650 denies 76942 G0458 is Column One, 76942 is Column Two—76942 denies 76998 G0458 is Column One, 76998 is Column Two—76998 denies 77336 G0458 is Column One, 77336 is Column Two—77336 denies 77427 G0458 is Column One, 77427 is Column Two—77427 denies 77431 G0458 is Column One, 77431 is Column Two—77431 denies 77761 G0458 is Column One, 77761 is Column Two—77761 denies 77762 G0458 is Column One, 77762 is Column Two—77762 denies 77763 G0458 is Column One, 77763 is Column Two—77763 denies 77789 G0458 is Column One, 77789 is Column Two—77789 denies 78012 G0458 is Column One, 78012 is Column Two—78012 denies 78013 G0458 is Column One, 78013 is Column Two—78013 denies 78014 G0458 is Column One, 78014 is Column Two—78014 denies 78071 G0458 is Column One, 78071 is Column Two—78071 denies 78072 G0458 is Column One, 78072 is Column Two—78072 denies 78226 G0458 is Column One, 78226 is Column Two—78226 denies 78227 G0458 is Column One, 78227 is Column Two—78227 denies 78579 G0458 is Column One, 78579 is Column Two—78579 denies 78582 G0458 is Column One, 78582 is Column Two—78582 denies 78597 G0458 is Column One, 78597 is Column Two—78597 denies 78598 G0458 is Column One, 78598 is Column Two—78598 denies 79445 G0458 is Column One, 79445 is Column Two—79445 denies 93000 G0458 is Column One, 93000 is Column Two—93000 denies 93005 G0458 is Column One, 93005 is Column Two—93005 denies 93010 G0458 is Column One, 93010 is Column Two—93010 denies 93040 G0458 is Column One, 93040 is Column Two—93040 denies 93041 G0458 is Column One, 93041 is Column Two—93041 denies 93042 G0458 is Column One, 93042 is Column Two—93042 denies 93318 G0458 is Column One, 93318 is Column Two—93318 denies 93355 G0458 is Column One, 93355 is Column Two—93355 denies 94002 G0458 is Column One, 94002 is Column Two—94002 denies 94200 G0458 is Column One, 94200 is Column Two—94200 denies 94680 G0458 is Column One, 94680 is Column Two—94680 denies 94681 G0458 is Column One, 94681 is Column Two—94681 denies 94690 G0458 is Column One, 94690 is Column Two—94690 denies 95812 G0458 is Column One, 95812 is Column Two—95812 denies 95813 G0458 is Column One, 95813 is Column Two—95813 denies 95816 G0458 is Column One, 95816 is Column Two—95816 denies 95819 G0458 is Column One, 95819 is Column Two—95819 denies 95822 G0458 is Column One, 95822 is Column Two—95822 denies 95829 G0458 is Column One, 95829 is Column Two—95829 denies 95955 G0458 is Column One, 95955 is Column Two—95955 denies 96372 G0458 is Column One, 96372 is Column Two—96372 denies 96374 G0458 is Column One, 96374 is Column Two—96374 denies 96375 G0458 is Column One, 96375 is Column Two—96375 denies 96376 G0458 is Column One, 96376 is Column Two—96376 denies 96377 G0458 is Column One, 96377 is Column Two—96377 denies MUE units per patient per date of service: 1