HCPCS code G0127 — Trim nail(s). Status: Active. Effective Jan 1, 1998. Source: CMS HCPCS Level II.

G0127

Active

Trim nail(s)

Trimming of dystrophic nails, any number

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jan 1, 1998
Code type: alphanumeric
OPPS Status: Q1 — STVX-packaged — paid standalone, packaged when billed with S, T, V, or X
OPPS APC: 5733

MUE — Medically Unlikely Edits

Maximum units of G0127 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with G0127 without appropriate documentation.

Column 2 Code Modifier
G0380 Modifier may bypass edit
G0381 Modifier may bypass edit
G0382 Modifier may bypass edit
G0383 Modifier may bypass edit
G0384 Modifier may bypass edit
G0463 Modifier may bypass edit
G0471 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

G0127 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
G0245 Modifier cannot bypass edit
G0246 Modifier cannot bypass edit
G0247 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)