`0016M`

What 0016M is

This code appears in the Medicare NCCI edit tables. It has no RVUs in the CY2026 Physician Fee Schedule file.

Medically Unlikely Edit (MUE)

Medicare caps 0016M at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0016M? These codes are bundled into it

0016M is a Column 1 code in 237 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Modifier indicator
`0011M`	0 - no modifier bypass	Check pair
`0013M`	0 - no modifier bypass	Check pair
`0021U`	0 - no modifier bypass	Check pair
`0030U`	1 - modifier may bypass	Check pair
`0034U`	1 - modifier may bypass	Check pair
`0070U`	1 - modifier may bypass	Check pair
`0086U`	1 - modifier may bypass	Check pair
`0111U`	1 - modifier may bypass	Check pair
`0133U`	0 - no modifier bypass	Check pair
`0136U`	1 - modifier may bypass	Check pair
`0137U`	1 - modifier may bypass	Check pair
`0229U`	1 - modifier may bypass	Check pair
`0232U`	1 - modifier may bypass	Check pair
`0234U`	1 - modifier may bypass	Check pair
`0235U`	1 - modifier may bypass	Check pair
`0239U`	1 - modifier may bypass	Check pair
`0242U`	1 - modifier may bypass	Check pair
`0244U`	1 - modifier may bypass	Check pair
`0250U`	0 - no modifier bypass	Check pair
`0252U`	1 - modifier may bypass	Check pair
`0253U`	1 - modifier may bypass	Check pair
`0286U`	1 - modifier may bypass	Check pair
`0288U`	0 - no modifier bypass	Check pair
`0315U`	0 - no modifier bypass	Check pair
`0318U`	1 - modifier may bypass	Check pair
`0326U`	1 - modifier may bypass	Check pair
`0331U`	1 - modifier may bypass	Check pair
`0334U`	0 - no modifier bypass	Check pair
`0341U`	1 - modifier may bypass	Check pair
`0347U`	1 - modifier may bypass	Check pair

Showing 30 of 237 column 2 codes. Use the pair checker for any specific combination.

0016M is bundled into these codes

0016M appears as a Column 2 code in 2 active edits. Reported with one of these Column 1 codes on the same date of service, 0016M is the code that denies.

Column 1 code	Short description	Modifier indicator
`0425U`		1	Check pair
`81541`	Onc prostate mrna 46 genes	0	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.