0322U
What 0322U 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 0322U 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 0322U? These codes are bundled into it
0322U is a Column 1 code in 16 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 | |
|---|---|---|---|
0119U | 1 - modifier may 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 |
82016 | Acylcarnitines qual | 0 - no modifier bypass | Check pair |
82017 | Acylcarnitines quant | 0 - no modifier bypass | Check pair |
82127 | Amino acid single qual | 1 - modifier may bypass | Check pair |
82128 | Amino acids mult qual | 1 - modifier may bypass | Check pair |
82131 | Amino acids single quant | 1 - modifier may bypass | Check pair |
82136 | Amino acids quant 2-5 | 1 - modifier may bypass | Check pair |
82139 | Amino acids quan 6 or more | 1 - modifier may bypass | Check pair |
82140 | Assay of ammonia | 0 - no modifier bypass | Check pair |
82379 | Assay of carnitine | 0 - no modifier bypass | Check pair |
82542 | Col chromotography qual/quan | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | 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.