NCCI edits for HCPCS G0459
CMS lists 196 active pairs with modifier indicator 0 (no NCCI-associated modifier bypasses those edits) and 84 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.
- 0395T G0459 denies
- 0890T G0459 denies
- 0891T G0459 denies
- 0892T G0459 denies
- 36591 36591 denies
- 36592 36592 denies
- 77261 G0459 denies
- 77262 G0459 denies
- 77263 G0459 denies
- 77280 G0459 denies
- 77285 G0459 denies
- 77290 G0459 denies
- 77295 G0459 denies
- 77300 G0459 denies
- 77301 G0459 denies
- 77306 G0459 denies
- 77307 G0459 denies
- 77316 G0459 denies
- 77317 G0459 denies
- 77318 G0459 denies
- 77321 G0459 denies
- 77331 G0459 denies
- 77332 G0459 denies
- 77333 G0459 denies
- 77334 G0459 denies
- 77336 G0459 denies
- 77338 G0459 denies
- 77370 G0459 denies
- 77371 G0459 denies
- 77372 G0459 denies
- 77373 G0459 denies
- 77402 G0459 denies
- 77407 G0459 denies
- 77412 G0459 denies
- 77417 G0459 denies
- 77423 G0459 denies
- 77424 G0459 denies
- 77425 G0459 denies
- 77427 G0459 denies
- 77431 G0459 denies
- 77432 G0459 denies
- 77435 G0459 denies
- 77469 G0459 denies
- 77470 G0459 denies
- 77520 G0459 denies
- 77522 G0459 denies
- 77523 G0459 denies
- 77525 G0459 denies
- 77600 G0459 denies
- 77605 G0459 denies
Showing 50 of 196. 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.
- 00104 00104 denies
- 0213T G0459 denies
- 0216T G0459 denies
- 0591T G0459 denies
- 0592T G0459 denies
- 0593T G0459 denies
- 0889T G0459 denies
- 0944T G0459 denies
- 62320 G0459 denies
- 62321 G0459 denies
- 62322 G0459 denies
- 62323 G0459 denies
- 62324 G0459 denies
- 62325 G0459 denies
- 62326 G0459 denies
- 62327 G0459 denies
- 64400 G0459 denies
- 64405 G0459 denies
- 64408 G0459 denies
- 64415 G0459 denies
- 64416 G0459 denies
- 64417 G0459 denies
- 64418 G0459 denies
- 64420 G0459 denies
- 64421 G0459 denies
- 64425 G0459 denies
- 64430 G0459 denies
- 64435 G0459 denies
- 64445 G0459 denies
- 64446 G0459 denies
- 64447 G0459 denies
- 64448 G0459 denies
- 64449 G0459 denies
- 64450 G0459 denies
- 64451 G0459 denies
- 64454 G0459 denies
- 64461 G0459 denies
- 64462 G0459 denies
- 64463 G0459 denies
- 64466 G0459 denies
- 64467 G0459 denies
- 64468 G0459 denies
- 64469 G0459 denies
- 64473 G0459 denies
- 64474 G0459 denies
- 64479 G0459 denies
- 64480 G0459 denies
- 64483 G0459 denies
- 64484 G0459 denies
- 64486 G0459 denies
Showing 50 of 84. 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.