MUE — Medically Unlikely Edits

Maximum units of G0259 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	Adjudication	Rationale
Outpatient Hospital	2	3 — Date of Service Edit: Clinical	Anatomic Consideration
Practitioner Services	2	3 — Date of Service Edit: Clinical	Anatomic Consideration

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with G0259 without appropriate documentation.

Column 2 Code	Description	Modifier
G0471	Ven blood coll snf/hha	Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

G0259 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code	Description	Modifier
G0260	Inj for sacroiliac jt anesth	Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)