0480U
What 0480U 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 0480U 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: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 0480U? These codes are bundled into it
0480U is a Column 1 code in 29 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 | |
|---|---|---|---|
0010U | 1 - modifier may bypass | Check pair | |
0109U | 1 - modifier may bypass | Check pair | |
0140U | 1 - modifier may bypass | Check pair | |
0141U | 1 - modifier may bypass | Check pair | |
0142U | 1 - modifier may bypass | Check pair | |
0152U | 1 - modifier may bypass | Check pair | |
0202U | 1 - modifier may bypass | Check pair | |
0223U | 1 - modifier may bypass | Check pair | |
0225U | 1 - modifier may bypass | Check pair | |
0441U | 1 - modifier may 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 |
81513 | Nfct ds bv rna vag flu alg | 1 - modifier may bypass | Check pair |
81514 | Nfct ds bv&vaginitis dna alg | 1 - modifier may bypass | Check pair |
87070 | Culture othr specimn aerobic | 1 - modifier may bypass | Check pair |
87071 | Culture aerobic quant other | 1 - modifier may bypass | Check pair |
87073 | Culture bacteria anaerobic | 1 - modifier may bypass | Check pair |
87076 | Culture anaerobe ident each | 1 - modifier may bypass | Check pair |
87077 | Culture aerobic identify | 1 - modifier may bypass | Check pair |
87081 | Culture screen only | 1 - modifier may bypass | Check pair |
87084 | Culture of specimen by kit | 1 - modifier may bypass | Check pair |
87103 | Blood fungus culture | 1 - modifier may bypass | Check pair |
87106 | Fungi identification yeast | 1 - modifier may bypass | Check pair |
87107 | Fungi identification mold | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
G0463 | Hospital outpt clinic visit | 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.