0328U
What 0328U 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 0328U 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 0328U? These codes are bundled into it
0328U is a Column 1 code in 95 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 | |
|---|---|---|---|
0011U | 0 - no modifier bypass | Check pair | |
0051U | 0 - no modifier bypass | Check pair | |
0054U | 0 - no modifier bypass | Check pair | |
0093U | 0 - no modifier bypass | Check pair | |
0110U | 0 - no modifier bypass | Check pair | |
0116U | 0 - no modifier bypass | Check pair | |
0119U | 1 - modifier may bypass | Check pair | |
0251U | 1 - modifier may bypass | Check pair | |
80305 | Drug test prsmv dir opt obs | 0 - no modifier bypass | Check pair |
80306 | Drug test prsmv instrmnt | 0 - no modifier bypass | Check pair |
80307 | Drug test prsmv chem anlyzr | 0 - no modifier bypass | Check pair |
80320 | Drug screen quantalcohols | 0 - no modifier bypass | Check pair |
80321 | Alcohols biomarkers 1or 2 | 0 - no modifier bypass | Check pair |
80322 | Alcohols biomarkers 3/more | 0 - no modifier bypass | Check pair |
80323 | Alkaloids nos | 0 - no modifier bypass | Check pair |
80324 | Drug screen amphetamines 1/2 | 0 - no modifier bypass | Check pair |
80325 | Amphetamines 3or 4 | 0 - no modifier bypass | Check pair |
80326 | Amphetamines 5 or more | 0 - no modifier bypass | Check pair |
80327 | Anabolic steroid 1 or 2 | 0 - no modifier bypass | Check pair |
80328 | Anabolic steroid 3 or more | 0 - no modifier bypass | Check pair |
80329 | Analgesics non-opioid 1 or 2 | 0 - no modifier bypass | Check pair |
80330 | Analgesics non-opioid 3-5 | 0 - no modifier bypass | Check pair |
80331 | Analgesics non-opioid 6/more | 0 - no modifier bypass | Check pair |
80332 | Antidepressants class 1 or 2 | 0 - no modifier bypass | Check pair |
80333 | Antidepressants class 3-5 | 0 - no modifier bypass | Check pair |
80334 | Antidepressants class 6/more | 0 - no modifier bypass | Check pair |
80335 | Antidepressant tricyclic 1/2 | 0 - no modifier bypass | Check pair |
80336 | Antidepressant tricyclic 3-5 | 0 - no modifier bypass | Check pair |
80337 | Tricyclic & cyclicals 6/more | 0 - no modifier bypass | Check pair |
80338 | Antidepressant not specified | 0 - no modifier bypass | Check pair |
Showing 30 of 95 column 2 codes. Use the pair checker for any specific combination.
0328U is bundled into these codes
0328U appears as a Column 2 code in 10 active edits. Reported with one of these Column 1 codes on the same date of service, 0328U is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0007U | 1 | Check pair | |
0082U | 0 | Check pair | |
0102U | 1 | Check pair | |
0103U | 1 | Check pair | |
0129U | 1 | Check pair | |
0227U | 1 | Check pair | |
0517U | 1 | Check pair | |
0518U | 1 | Check pair | |
0519U | 1 | Check pair | |
0520U | 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.