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0250U

What 0250U 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 0250U 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: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0250U? These codes are bundled into it

0250U is a Column 1 code in 308 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
0009U1 - modifier may bypassCheck pair
0016U1 - modifier may bypassCheck pair
0017U1 - modifier may bypassCheck pair
0020M1 - modifier may bypassCheck pair
0027U1 - modifier may bypassCheck pair
0030U1 - modifier may bypassCheck pair
0034U1 - modifier may bypassCheck pair
0040U1 - modifier may bypassCheck pair
0046U1 - modifier may bypassCheck pair
0049U1 - modifier may bypassCheck pair
0070U1 - modifier may bypassCheck pair
0071U1 - modifier may bypassCheck pair
0086U1 - modifier may bypassCheck pair
0111U1 - modifier may bypassCheck pair
0136U1 - modifier may bypassCheck pair
0137U1 - modifier may bypassCheck pair
0138U1 - modifier may bypassCheck pair
0140U1 - modifier may bypassCheck pair
0141U1 - modifier may bypassCheck pair
0142U1 - modifier may bypassCheck pair
0155U1 - 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
0177U1 - modifier may bypassCheck pair
0212U1 - modifier may bypassCheck pair

Showing 30 of 308 column 2 codes. Use the pair checker for any specific combination.

0250U is bundled into these codes

0250U appears as a Column 2 code in 46 active edits. Reported with one of these Column 1 codes on the same date of service, 0250U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0016M0Check pair
0060U1Check pair
0101U1Check pair
0102U1Check pair
0103U1Check pair
0120U1Check pair
0129U1Check pair
0130U1Check pair
0133U1Check pair
0134U1Check pair
0162U1Check pair
0171U1Check pair
0306U1Check pair
0307U1Check pair
0326U0Check 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.