0395U
What 0395U 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 0395U 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 0395U? These codes are bundled into it
0395U is a Column 1 code in 15 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 | |
|---|---|---|---|
0022U | 1 - modifier may bypass | Check pair | |
0080U | 1 - modifier may bypass | Check pair | |
0092U | 1 - modifier may bypass | Check pair | |
0179U | 1 - modifier may bypass | Check pair | |
0317U | 1 - modifier may bypass | Check pair | |
0406U | 1 - modifier may bypass | Check pair | |
0436U | 0 - no modifier bypass | Check pair | |
0478U | 1 - modifier may bypass | Check pair | |
81235 | Egfr gene com variants | 1 - modifier may bypass | Check pair |
81401 | Mopath procedure level 2 | 1 - modifier may bypass | Check pair |
81445 | So neo gsap 5-50dna/dna&rna | 1 - modifier may bypass | Check pair |
81449 | So neo gsap 5-50 rna alys | 1 - modifier may bypass | Check pair |
81455 | So/hl 51/>gsap dna/dna&rna | 1 - modifier may bypass | Check pair |
81456 | So/hl 51/>gsap rna alys | 1 - modifier may bypass | Check pair |
81538 | Oncology lung | 1 - modifier may 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.