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0112U

What 0112U 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 0112U at 1 unit 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 Analyte. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0112U? These codes are bundled into it

0112U is a Column 1 code in 102 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
0068U1 - modifier may bypassCheck pair
0202U1 - modifier may bypassCheck pair
0330U1 - modifier may bypassCheck pair
0455U1 - modifier may 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
81400Mopath procedure level 11 - modifier may bypassCheck pair
81401Mopath procedure level 21 - modifier may bypassCheck pair
81402Mopath procedure level 31 - modifier may bypassCheck pair
81403Mopath procedure level 41 - modifier may bypassCheck pair
81404Mopath procedure level 51 - modifier may bypassCheck pair
81405Mopath procedure level 61 - modifier may bypassCheck pair
81406Mopath procedure level 71 - modifier may bypassCheck pair
81407Mopath procedure level 81 - modifier may bypassCheck pair
81408Mopath procedure level 91 - modifier may bypassCheck pair
81513Nfct ds bv rna vag flu alg1 - modifier may bypassCheck pair
87149Dna/rna direct probe1 - modifier may bypassCheck pair
87150Dna/rna amplified probe1 - modifier may bypassCheck pair
87154Cul typ id bld pthgn 6+ trgt1 - modifier may bypassCheck pair
87468Anaplsma phgcytophlm amp prb1 - modifier may bypassCheck pair
87469Babesia microti amp prb1 - modifier may bypassCheck pair
87471Bartonella dna amp probe1 - modifier may bypassCheck pair
87472Bartonella dna quant1 - modifier may bypassCheck pair
87475Lyme dis dna dir probe1 - modifier may bypassCheck pair
87476Lyme dis dna amp probe1 - modifier may bypassCheck pair
87478Borrelia miyamotoi amp prb1 - modifier may bypassCheck pair
87480Candida dna dir probe1 - modifier may bypassCheck pair
87481Candida dna amp probe1 - modifier may bypassCheck pair

Showing 30 of 102 column 2 codes. Use the pair checker for any specific combination.

0112U is bundled into these codes

0112U appears as a Column 2 code in 269 active edits. Reported with one of these Column 1 codes on the same date of service, 0112U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0008U1Check pair
0010U1Check pair
0016U1Check pair
0017U1Check pair
0027U1Check pair
0030U1Check pair
0034U1Check pair
0040U1Check pair
0046U1Check pair
0049U1Check pair
0070U1Check pair
0071U1Check pair
0072U1Check pair
0073U1Check pair
0074U1Check 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.