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0501U

What 0501U 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 0501U 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 0501U? These codes are bundled into it

0501U is a Column 1 code in 37 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
0091U0 - no modifier bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
80503Path clin consltj sf 5-201 - modifier may bypassCheck pair
80504Path clin consltj mod 21-401 - modifier may bypassCheck pair
80505Path clin consltj high 41-601 - modifier may bypassCheck pair
81210Braf gene1 - modifier may bypassCheck pair
81273Kit gene analys d816 variant1 - modifier may bypassCheck pair
81283Ifnl3 gene1 - modifier may bypassCheck pair
81322Pten gene known fam variant1 - modifier may bypassCheck pair
81327Sept9 gen prmtr mthyltn alys1 - modifier may bypassCheck pair
81328Slco1b1 gene com variants1 - modifier may bypassCheck pair
81335Tpmt gene com variants1 - modifier may bypassCheck pair
81341Trb@ gene rearrange dirprobe1 - modifier may bypassCheck pair
81400Mopath procedure level 11 - modifier may bypassCheck pair
81401Mopath procedure level 21 - modifier may bypassCheck pair
81402Mopath procedure level 31 - modifier may bypassCheck pair
81403Mopath procedure level 41 - modifier may bypassCheck pair
82270Occult blood feces1 - modifier may bypassCheck pair
82272Occult bld feces 1-3 tests1 - modifier may bypassCheck pair
82274Assay test for blood fecal1 - modifier may bypassCheck pair
84311Spectrophotometry1 - modifier may bypassCheck pair
88271Cytogenetics dna probe1 - modifier may bypassCheck pair
88272Cytogenetics 3-51 - modifier may bypassCheck pair
88273Cytogenetics 10-301 - modifier may bypassCheck pair
88274Cytogenetics 25-991 - modifier may bypassCheck pair
88275Cytogenetics 100-3001 - modifier may bypassCheck pair
88291Cyto/molecular report1 - modifier may bypassCheck pair
88365Insitu hybridization (fish)1 - modifier may bypassCheck pair
88366Insitu hybridization (fish)1 - modifier may bypassCheck pair

Showing 30 of 37 column 2 codes. Use the pair checker for any specific combination.

0501U is bundled into these codes

0501U appears as a Column 2 code in 76 active edits. Reported with one of these Column 1 codes on the same date of service, 0501U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0101U0Check pair
0111U0Check pair
0163U0Check pair
0238U1Check pair
0239U1Check pair
0242U1Check pair
0244U1Check pair
0261U1Check pair
0326U1Check pair
0340U1Check pair
0421U0Check pair
0453U0Check pair
0460U1Check pair
0461U1Check pair
0464U0Check 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.