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0070U

What 0070U is

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

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Medically Unlikely Edit (MUE)

Medicare caps 0070U at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0070U? These codes are bundled into it

0070U is a Column 1 code in 140 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 codeShort descriptionModifier indicator
0009U1 - modifier may bypassCheck pair
0086U1 - modifier may bypassCheck pair
0112U1 - modifier may bypassCheck pair
0115U1 - modifier may bypassCheck pair
0140U1 - modifier may bypassCheck pair
0141U1 - modifier may bypassCheck pair
0142U1 - modifier may bypassCheck pair
0202U1 - modifier may bypassCheck pair
0321U1 - modifier may bypassCheck pair
0330U1 - modifier may bypassCheck pair
0476U0 - no modifier bypassCheck pair
0477U0 - no modifier bypassCheck pair
0516U0 - no modifier bypassCheck pair
80503Path clin consltj sf 5-201 - modifier may bypassCheck pair
80504Path clin consltj mod 21-401 - modifier may bypassCheck pair
80505Path clin consltj high 41-601 - modifier may bypassCheck pair
80506Path clin consltj prolng svc1 - modifier may bypassCheck pair
81513Nfct ds bv rna vag flu alg1 - modifier may bypassCheck pair
84311Spectrophotometry1 - modifier may bypassCheck pair
87140Culture type immunofluoresc1 - modifier may bypassCheck pair
87143Culture typing glc/hplc1 - modifier may bypassCheck pair
87147Culture type immunologic1 - modifier may bypassCheck pair
87149Dna/rna direct probe1 - modifier may bypassCheck pair
87150Dna/rna amplified probe1 - modifier may bypassCheck pair
87152Culture type pulse field gel1 - modifier may bypassCheck pair
87153Dna/rna sequencing1 - modifier may bypassCheck pair
87154Cul typ id bld pthgn 6+ trgt1 - modifier may bypassCheck pair
87158Culture typing added method1 - modifier may bypassCheck pair
87468Anaplsma phgcytophlm amp prb1 - modifier may bypassCheck pair
87469Babesia microti amp prb1 - modifier may bypassCheck pair

Showing 30 of 140 column 2 codes. Use the pair checker for any specific combination.

0070U is bundled into these codes

0070U appears as a Column 2 code in 165 active edits. Reported with one of these Column 1 codes on the same date of service, 0070U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0001U1Check pair
0004M1Check pair
0005U1Check pair
0006M1Check pair
0007M1Check pair
0008U1Check pair
0010U1Check pair
0011M1Check pair
0012M1Check pair
0013M1Check pair
0016M1Check pair
0018U1Check pair
0019U1Check pair
0022U1Check pair
0023U1Check 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.