`0202U`

What 0202U is

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

Medically Unlikely Edit (MUE)

Medicare caps 0202U 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 0202U? These codes are bundled into it

0202U is a Column 1 code in 50 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 code	Short description	Modifier indicator
`0086U`		0 - no modifier bypass	Check pair
`0115U`		0 - no modifier bypass	Check pair
`0152U`		0 - no modifier bypass	Check pair
`80503`	Path clin consltj sf 5-20	1 - modifier may bypass	Check pair
`80504`	Path clin consltj mod 21-40	1 - modifier may bypass	Check pair
`80505`	Path clin consltj high 41-60	1 - modifier may bypass	Check pair
`80506`	Path clin consltj prolng svc	1 - modifier may bypass	Check pair
`81404`	Mopath procedure level 5	1 - modifier may bypass	Check pair
`81407`	Mopath procedure level 8	1 - modifier may bypass	Check pair
`81408`	Mopath procedure level 9	1 - modifier may bypass	Check pair
`87149`	Dna/rna direct probe	1 - modifier may bypass	Check pair
`87150`	Dna/rna amplified probe	1 - modifier may bypass	Check pair
`87154`	Cul typ id bld pthgn 6+ trgt	1 - modifier may bypass	Check pair
`87253`	Virus inoculate tissue addl	1 - modifier may bypass	Check pair
`87260`	Adenovirus ag if	0 - no modifier bypass	Check pair
`87265`	Pertussis ag if	0 - no modifier bypass	Check pair
`87267`	Enterovirus antibody dfa	0 - no modifier bypass	Check pair
`87275`	Influenza b ag if	0 - no modifier bypass	Check pair
`87276`	Influenza a ag if	0 - no modifier bypass	Check pair
`87279`	Parainfluenza ag if	0 - no modifier bypass	Check pair
`87280`	Respiratory syncytial ag if	0 - no modifier bypass	Check pair
`87301`	Adenovirus ag ia	0 - no modifier bypass	Check pair
`87400`	Influenza a/b each ag ia	0 - no modifier bypass	Check pair
`87420`	Resp syncytial virus ag ia	0 - no modifier bypass	Check pair
`87428`	Sarscov & inf vir a&b ag ia	0 - no modifier bypass	Check pair
`87485`	Chlmyd pneum dna dir probe	0 - no modifier bypass	Check pair
`87486`	Chlmyd pneum dna amp probe	0 - no modifier bypass	Check pair
`87487`	Chlmyd pneum dna quant	0 - no modifier bypass	Check pair
`87501`	Influenza dna amp prob 1+	0 - no modifier bypass	Check pair
`87502`	Influenza dna amp probe	0 - no modifier bypass	Check pair

Showing 30 of 50 column 2 codes. Use the pair checker for any specific combination.

0202U is bundled into these codes

0202U appears as a Column 2 code in 269 active edits. Reported with one of these Column 1 codes on the same date of service, 0202U is the code that denies.

Column 1 code	Modifier indicator
`0008U`	1	Check pair
`0010U`	1	Check pair
`0016U`	1	Check pair
`0017U`	1	Check pair
`0027U`	1	Check pair
`0030U`	1	Check pair
`0034U`	1	Check pair
`0040U`	1	Check pair
`0046U`	1	Check pair
`0049U`	1	Check pair
`0070U`	1	Check pair
`0071U`	1	Check pair
`0072U`	1	Check pair
`0073U`	1	Check pair
`0074U`	1	Check 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.