0489U
What 0489U 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 0489U 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 0489U? These codes are bundled into it
0489U is a Column 1 code in 90 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 | |
|---|---|---|---|
0234U | 1 - modifier may bypass | Check pair | |
0252U | 1 - modifier may bypass | Check pair | |
0254U | 1 - modifier may bypass | Check pair | |
0327U | 1 - modifier may bypass | Check pair | |
0407U | 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 |
81105 | Hpa-1 genotyping | 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 |
81161 | Dmd dup/delet analysis | 1 - modifier may bypass | Check pair |
81200 | Aspa gene | 1 - modifier may bypass | Check pair |
81205 | Bckdhb gene | 1 - modifier may bypass | Check pair |
81209 | Blm gene | 1 - modifier may bypass | Check pair |
81220 | Cftr gene com variants | 1 - modifier may bypass | Check pair |
81221 | Cftr gene known fam variants | 1 - modifier may bypass | Check pair |
81222 | Cftr gene dup/delet variants | 1 - modifier may bypass | Check pair |
81223 | Cftr gene full sequence | 1 - modifier may bypass | Check pair |
81224 | Cftr gene intron poly t | 1 - modifier may bypass | Check pair |
81228 | Cytog alys chrml abnr cgh | 1 - modifier may bypass | Check pair |
81238 | F9 full gene sequence | 1 - modifier may bypass | Check pair |
81240 | F2 gene | 1 - modifier may bypass | Check pair |
Showing 30 of 90 column 2 codes. Use the pair checker for any specific combination.
0489U is bundled into these codes
0489U appears as a Column 2 code in 14 active edits. Reported with one of these Column 1 codes on the same date of service, 0489U is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0156U | 1 | Check pair | |
0170U | 1 | Check pair | |
0212U | 1 | Check pair | |
0213U | 1 | Check pair | |
0318U | 1 | Check pair | |
0335U | 1 | Check pair | |
0336U | 1 | Check pair | |
0341U | 1 | Check pair | |
0425U | 1 | Check pair | |
81229 | Cytog alys chrml abnr snpcgh | 1 | Check pair |
81349 | Cytog alys chrml abnr lw-ps | 1 | Check pair |
81408 | Mopath procedure level 9 | 1 | Check pair |
81412 | Ashkenazi jewish assoc dis | 1 | Check pair |
81443 | Genetic tstg severe inh cond | 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.