`0415U`

What 0415U 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 0415U 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 0415U? These codes are bundled into it

0415U is a Column 1 code in 40 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
`0019M`		0 - no modifier bypass	Check pair
`0119U`		1 - modifier may bypass	Check pair
`0309U`		0 - no modifier bypass	Check pair
`0377U`		1 - modifier may bypass	Check pair
`0401U`		0 - no modifier bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`80503`	Path clin consltj sf 5-20	1 - modifier may bypass	Check pair
`80504`	Path clin consltj mod 21-40	1 - modifier may bypass	Check pair
`80505`	Path clin consltj high 41-60	1 - modifier may bypass	Check pair
`81106`	Hpa-2 genotyping	1 - modifier may bypass	Check pair
`81107`	Hpa-3 genotyping	1 - modifier may bypass	Check pair
`81108`	Hpa-4 genotyping	1 - modifier may bypass	Check pair
`81109`	Hpa-5 genotyping	1 - modifier may bypass	Check pair
`81110`	Hpa-6 genotyping	1 - modifier may bypass	Check pair
`81111`	Hpa-9 genotyping	1 - modifier may bypass	Check pair
`81112`	Hpa-15 genotyping	1 - modifier may bypass	Check pair
`81225`	Cyp2c19 gene com variants	1 - modifier may bypass	Check pair
`81227`	Cyp2c9 gene com variants	1 - modifier may bypass	Check pair
`81230`	Cyp3a4 gene common variants	1 - modifier may bypass	Check pair
`81231`	Cyp3a5 gene common variants	1 - modifier may bypass	Check pair
`81232`	Dpyd gene common variants	1 - modifier may bypass	Check pair
`81328`	Slco1b1 gene com variants	1 - modifier may bypass	Check pair
`81400`	Mopath procedure level 1	1 - modifier may bypass	Check pair
`81401`	Mopath procedure level 2	1 - modifier may bypass	Check pair
`81402`	Mopath procedure level 3	1 - modifier may bypass	Check pair
`81403`	Mopath procedure level 4	1 - modifier may bypass	Check pair
`81404`	Mopath procedure level 5	1 - modifier may bypass	Check pair
`81405`	Mopath procedure level 6	1 - modifier may bypass	Check pair
`81406`	Mopath procedure level 7	1 - modifier may bypass	Check pair

Showing 30 of 40 column 2 codes. Use the pair checker for any specific combination.

0415U is bundled into these codes

0415U appears as a Column 2 code in 19 active edits. Reported with one of these Column 1 codes on the same date of service, 0415U is the code that denies.

Column 1 code	Short description	Modifier indicator
`0055U`		1	Check pair
`0087U`		1	Check pair
`0308U`		0	Check pair
`81226`	Cyp2d6 gene com variants	1	Check pair
`81228`	Cytog alys chrml abnr cgh	1	Check pair
`81229`	Cytog alys chrml abnr snpcgh	1	Check pair
`81407`	Mopath procedure level 8	1	Check pair
`81408`	Mopath procedure level 9	1	Check pair
`81410`	Aortic dysfunction/dilation	1	Check pair
`81411`	Aortic dysfunction/dilation	1	Check pair
`81413`	Car ion chnnlpath inc 10 gns	1	Check pair
`81414`	Car ion chnnlpath inc 2 gns	1	Check pair
`81415`	Exome sequence analysis	1	Check pair
`81425`	Genome sequence analysis	1	Check pair
`81427`	Genome re-evaluation	1	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.