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0079U

What 0079U 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 0079U at 0 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: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0079U? These codes are bundled into it

0079U is a Column 1 code in 377 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
0071U0 - no modifier bypassCheck pair
0086U1 - modifier may bypassCheck pair
0111U0 - no modifier bypassCheck pair
0112U1 - modifier may bypassCheck pair
0115U1 - modifier may bypassCheck pair
0136U0 - no modifier bypassCheck pair
0137U0 - no modifier bypassCheck pair
0138U0 - no modifier bypassCheck pair
0140U1 - modifier may bypassCheck pair
0141U1 - modifier may bypassCheck pair
0142U1 - modifier may bypassCheck pair
0155U0 - no modifier bypassCheck pair
0156U0 - no modifier bypassCheck pair
0157U0 - no modifier bypassCheck pair
0158U0 - no modifier bypassCheck pair
0159U0 - no modifier bypassCheck pair
0160U0 - no modifier bypassCheck pair
0161U0 - no modifier bypassCheck pair
0177U0 - no modifier bypassCheck pair
0202U1 - modifier may bypassCheck pair
0212U0 - no modifier bypassCheck pair
0213U0 - no modifier bypassCheck pair
0229U0 - no modifier bypassCheck pair
0230U0 - no modifier bypassCheck pair
0231U0 - no modifier bypassCheck pair
0232U0 - no modifier bypassCheck pair
0233U0 - no modifier bypassCheck pair
0234U0 - no modifier bypassCheck pair
0235U0 - no modifier bypassCheck pair

Showing 30 of 377 column 2 codes. Use the pair checker for any specific combination.

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.