`0392U`

What 0392U 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 0392U 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: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0392U? These codes are bundled into it

0392U is a Column 1 code in 379 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	Modifier indicator
`0009U`	1 - modifier may bypass	Check pair
`0016U`	1 - modifier may bypass	Check pair
`0017U`	1 - modifier may bypass	Check pair
`0027U`	1 - modifier may bypass	Check pair
`0030U`	1 - modifier may bypass	Check pair
`0034U`	1 - modifier may bypass	Check pair
`0040U`	1 - modifier may bypass	Check pair
`0046U`	1 - modifier may bypass	Check pair
`0049U`	1 - modifier may bypass	Check pair
`0069U`	1 - modifier may bypass	Check pair
`0070U`	1 - modifier may bypass	Check pair
`0071U`	0 - no modifier bypass	Check pair
`0072U`	0 - no modifier bypass	Check pair
`0073U`	0 - no modifier bypass	Check pair
`0074U`	0 - no modifier bypass	Check pair
`0075U`	0 - no modifier bypass	Check pair
`0076U`	0 - no modifier bypass	Check pair
`0086U`	1 - modifier may bypass	Check pair
`0111U`	1 - modifier may bypass	Check pair
`0112U`	1 - modifier may bypass	Check pair
`0115U`	1 - modifier may bypass	Check pair
`0136U`	1 - modifier may bypass	Check pair
`0137U`	1 - modifier may bypass	Check pair
`0138U`	1 - modifier may bypass	Check pair
`0140U`	1 - modifier may bypass	Check pair
`0141U`	1 - modifier may bypass	Check pair
`0142U`	1 - modifier may bypass	Check pair
`0155U`	1 - modifier may bypass	Check pair
`0156U`	1 - modifier may bypass	Check pair
`0157U`	1 - modifier may bypass	Check pair

Showing 30 of 379 column 2 codes. Use the pair checker for any specific combination.

0392U is bundled into these codes

0392U appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 0392U is the code that denies.

Column 1 code	Short description
`0411U`		Check pair
`0419U`		Check pair
`0434U`		Check pair
`0437U`		Check pair
`0438U`		Check pair
`81418`	Rx metab gen seq alys pnl 6	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.