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0299U

What 0299U 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 0299U 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 0299U? These codes are bundled into it

0299U is a Column 1 code in 5 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
0036U1 - modifier may bypassCheck pair
0211U0 - no modifier bypassCheck pair
0300U0 - no modifier bypassCheck pair
0523U0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

0299U is bundled into these codes

0299U appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 0299U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0297U0Check pair
0298U0Check pair
0409U0Check 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.