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0120U

What 0120U 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 0120U 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 0120U? These codes are bundled into it

0120U is a Column 1 code in 304 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
0030U1 - modifier may bypassCheck pair
0034U1 - modifier may bypassCheck pair
0046U1 - modifier may bypassCheck pair
0048U1 - modifier may bypassCheck pair
0049U1 - modifier may bypassCheck pair
0070U1 - modifier may bypassCheck pair
0071U1 - modifier may bypassCheck pair
0111U1 - modifier may bypassCheck pair
0133U1 - modifier may bypassCheck pair
0136U1 - modifier may bypassCheck pair
0137U1 - 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

Showing 30 of 304 column 2 codes. Use the pair checker for any specific combination.

0120U is bundled into these codes

0120U appears as a Column 2 code in 2 active edits. Reported with one of these Column 1 codes on the same date of service, 0120U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0017M0Check pair
0425U1Check 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.