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0411U

What 0411U 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 0411U 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 0411U? These codes are bundled into it

0411U is a Column 1 code in 414 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
0001U1 - modifier may bypassCheck pair
0004M1 - modifier may bypassCheck pair
0006M1 - modifier may bypassCheck pair
0007M1 - modifier may bypassCheck pair
0008U1 - modifier may bypassCheck pair
0009U1 - modifier may bypassCheck pair
0010U1 - modifier may bypassCheck pair
0011M1 - modifier may bypassCheck pair
0012M1 - modifier may bypassCheck pair
0013M1 - modifier may bypassCheck pair
0016U1 - modifier may bypassCheck pair
0017U1 - modifier may bypassCheck pair
0027U1 - modifier may bypassCheck pair
0030U1 - modifier may bypassCheck pair
0034U1 - modifier may bypassCheck pair
0040U1 - modifier may bypassCheck pair
0046U1 - modifier may bypassCheck pair
0049U1 - modifier may bypassCheck pair
0060U1 - modifier may bypassCheck pair
0068U1 - modifier may bypassCheck pair
0069U1 - modifier may bypassCheck pair
0070U1 - modifier may bypassCheck pair
0084U1 - modifier may bypassCheck pair
0086U1 - modifier may bypassCheck pair
0089U1 - modifier may bypassCheck pair
0102U1 - modifier may bypassCheck pair
0111U1 - modifier may bypassCheck pair
0112U1 - modifier may bypassCheck pair
0113U1 - modifier may bypassCheck pair
0115U1 - modifier may bypassCheck pair

Showing 30 of 414 column 2 codes. Use the pair checker for any specific combination.

0411U is bundled into these codes

0411U appears as a Column 2 code in 58 active edits. Reported with one of these Column 1 codes on the same date of service, 0411U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0016M1Check pair
0036U1Check pair
0037U1Check pair
0045U1Check pair
0047U1Check pair
0048U1Check pair
0050U1Check pair
0055U1Check pair
0087U1Check pair
0088U1Check pair
0090U1Check pair
0094U1Check pair
0101U1Check pair
0103U1Check pair
0108U1Check 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.