`0248U`

What 0248U 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 0248U 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 0248U? These codes are bundled into it

0248U is a Column 1 code in 21 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
`0156U`		1 - modifier may bypass	Check pair
`0212U`		1 - modifier may bypass	Check pair
`0213U`		1 - modifier may bypass	Check pair
`0318U`		1 - modifier may bypass	Check pair
`0336U`		1 - modifier may bypass	Check pair
`76098`	X-ray exam surgical specimen	1 - modifier may bypass	Check pair
`76100`	X-ray exam of body section	1 - modifier may bypass	Check pair
`76380`	Cat scan follow-up study	1 - modifier may bypass	Check pair
`76497`	Unlisted ct procedure	1 - modifier may bypass	Check pair
`81195`	Cytog genom-wid alys hem mal	1 - modifier may bypass	Check pair
`81228`	Cytog alys chrml abnr cgh	1 - modifier may bypass	Check pair
`81229`	Cytog alys chrml abnr snpcgh	1 - modifier may bypass	Check pair
`88230`	Tissue culture lymphocyte	1 - modifier may bypass	Check pair
`88233`	Tissue culture skin/biopsy	1 - modifier may bypass	Check pair
`88235`	Tissue culture placenta	1 - modifier may bypass	Check pair
`88237`	Tissue culture bone marrow	1 - modifier may bypass	Check pair
`88239`	Tissue culture tumor	1 - modifier may bypass	Check pair
`88271`	Cytogenetics dna probe	1 - modifier may bypass	Check pair
`88291`	Cyto/molecular report	1 - modifier may bypass	Check pair
`88313`	Special stains group 2	1 - modifier may bypass	Check pair
`G0452`	Molecular pathology interpr	1 - modifier may bypass	Check pair

0248U is bundled into these codes

0248U appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 0248U is the code that denies.

Column 1 code	Modifier indicator
`0422U`	1	Check pair
`0425U`	1	Check pair
`0435U`	0	Check pair
`0525U`	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.