0432U
What 0432U 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 0432U 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: Nature of Analyte. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 0432U? These codes are bundled into it
0432U is a Column 1 code in 143 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 | |
|---|---|---|---|
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 |
81177 | Atn1 gene detc abnor alleles | 1 - modifier may bypass | Check pair |
81178 | Atxn1 gene detc abnor allele | 1 - modifier may bypass | Check pair |
81179 | Atxn2 gene detc abnor allele | 1 - modifier may bypass | Check pair |
81180 | Atxn3 gene detc abnor allele | 1 - modifier may bypass | Check pair |
81181 | Atxn7 gene detc abnor allele | 1 - modifier may bypass | Check pair |
81182 | Atxn8os gen detc abnor allel | 1 - modifier may bypass | Check pair |
81183 | Atxn10 gene detc abnor allel | 1 - modifier may bypass | Check pair |
81184 | Cacna1a gen detc abnor allel | 1 - modifier may bypass | Check pair |
81185 | Cacna1a gene full gene seq | 1 - modifier may bypass | Check pair |
81186 | Cacna1a gen known famil vrnt | 1 - modifier may bypass | Check pair |
81187 | Cnbp gene detc abnor allele | 1 - modifier may bypass | Check pair |
81188 | Cstb gene detc abnor allele | 1 - modifier may bypass | Check pair |
81189 | Cstb gene full gene sequence | 1 - modifier may bypass | Check pair |
81190 | Cstb gene known famil vrnt | 1 - modifier may bypass | Check pair |
81200 | Aspa gene | 1 - modifier may bypass | Check pair |
81204 | Ar gene charac alleles | 1 - modifier may bypass | Check pair |
81271 | Htt gene detc abnor alleles | 1 - modifier may bypass | Check pair |
81274 | Htt gene charac alleles | 1 - modifier may bypass | Check pair |
81284 | Fxn gene detc abnor alleles | 1 - modifier may bypass | Check pair |
81285 | Fxn gene charac alleles | 1 - modifier may bypass | Check pair |
81286 | Fxn gene full gene sequence | 1 - modifier may bypass | Check pair |
81289 | Fxn gene known famil variant | 1 - modifier may bypass | Check pair |
81302 | Mecp2 gene full seq | 1 - modifier may bypass | Check pair |
81303 | Mecp2 gene known variant | 1 - modifier may bypass | Check pair |
81304 | Mecp2 gene dup/delet variant | 1 - modifier may bypass | Check pair |
Showing 30 of 143 column 2 codes. Use the pair checker for any specific combination.
0432U is bundled into these codes
0432U appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 0432U is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
G0452 | Molecular pathology interpr | 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.