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0113U

What 0113U 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 0113U 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 0113U? These codes are bundled into it

0113U is a Column 1 code in 300 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
0011M0 - no modifier bypassCheck pair
0021U0 - no modifier bypassCheck pair
0030U1 - modifier may bypassCheck pair
0034U1 - modifier may bypassCheck pair
0046U1 - modifier may bypassCheck pair
0049U1 - modifier may bypassCheck pair
0070U1 - modifier may bypassCheck pair
0071U1 - modifier may bypassCheck pair
0156U1 - modifier may bypassCheck pair
0157U1 - modifier may bypassCheck pair
0158U1 - modifier may bypassCheck pair
0159U1 - modifier may bypassCheck pair
0160U1 - modifier may bypassCheck pair
0161U1 - modifier may bypassCheck pair
0169U1 - modifier may bypassCheck pair
0212U1 - modifier may bypassCheck pair
0213U1 - modifier may bypassCheck pair
0229U1 - modifier may bypassCheck pair
0230U1 - modifier may bypassCheck pair
0231U1 - modifier may bypassCheck pair
0232U1 - modifier may bypassCheck pair
0233U1 - modifier may bypassCheck pair
0234U1 - modifier may bypassCheck pair
0235U1 - modifier may bypassCheck pair
0236U1 - modifier may bypassCheck pair
0239U1 - modifier may bypassCheck pair
0242U1 - modifier may bypassCheck pair
0244U1 - modifier may bypassCheck pair
0252U1 - modifier may bypassCheck pair
0253U1 - modifier may bypassCheck pair

Showing 30 of 300 column 2 codes. Use the pair checker for any specific combination.

0113U is bundled into these codes

0113U appears as a Column 2 code in 15 active edits. Reported with one of these Column 1 codes on the same date of service, 0113U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0047U0Check pair
0228U0Check pair
0339U0Check pair
0343U0Check pair
0359U1Check pair
0411U1Check pair
0424U0Check pair
0425U1Check pair
0460U1Check pair
0461U1Check pair
0475U0Check pair
0495U0Check pair
0497U1Check pair
81195Cytog genom-wid alys hem mal1Check pair
81541Onc prostate mrna 46 genes0Check 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.