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0418U

What 0418U 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 0418U 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 0418U? These codes are bundled into it

0418U is a Column 1 code in 259 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
0009U1 - 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
0070U1 - modifier may bypassCheck pair
0086U1 - modifier may bypassCheck pair
0111U1 - modifier may bypassCheck pair
0140U1 - modifier may bypassCheck pair
0141U1 - modifier may bypassCheck pair
0142U1 - modifier may bypassCheck pair
0155U1 - modifier may bypassCheck pair
0169U1 - modifier may bypassCheck pair
0177U1 - modifier may bypassCheck pair
0229U1 - modifier may bypassCheck pair
0230U1 - modifier may bypassCheck pair
0232U1 - modifier may bypassCheck pair
0233U1 - modifier may bypassCheck pair
0234U1 - modifier may bypassCheck pair
0235U1 - modifier may bypassCheck pair
0236U1 - modifier may bypassCheck pair
0237U1 - modifier may bypassCheck pair
0238U1 - modifier may bypassCheck pair
0286U1 - modifier may bypassCheck pair
0321U1 - modifier may bypassCheck pair
80503Path clin consltj sf 5-201 - modifier may bypassCheck pair

Showing 30 of 259 column 2 codes. Use the pair checker for any specific combination.

0418U is bundled into these codes

0418U appears as a Column 2 code in 68 active edits. Reported with one of these Column 1 codes on the same date of service, 0418U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0045U0Check pair
0060U1Check pair
0067U0Check pair
0101U1Check pair
0102U1Check pair
0103U1Check pair
0129U1Check pair
0156U1Check pair
0171U1Check pair
0212U1Check pair
0213U1Check pair
0231U1Check pair
0239U1Check pair
0242U1Check pair
0244U1Check 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.