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0368U

What 0368U 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 0368U 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.

0368U is bundled into these codes

0368U appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, 0368U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0460U1Check pair
0461U1Check pair
0474U0Check pair
0496U0Check pair
0498U0Check 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.