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0358U

What 0358U 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 0358U 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 0358U? These codes are bundled into it

0358U is a Column 1 code in 3 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
82233Beta-amyloid 1-40 (abeta 40)1 - modifier may bypassCheck pair
82234Beta-amyloid 1-42 (abeta 42)1 - modifier may bypassCheck pair
83884Assay neurflmnt light chain1 - modifier may bypassCheck pair

0358U is bundled into these codes

0358U appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 0358U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0443U1Check pair
0445U1Check pair
0459U1Check 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.