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0507U

What 0507U 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 0507U 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 0507U? These codes are bundled into it

0507U is a Column 1 code in 52 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
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
81163Brca1&2 gene full seq alys1 - modifier may bypassCheck pair
81164Brca1&2 gen ful dup/del alys1 - modifier may bypassCheck pair
81165Brca1 gene full seq alys1 - modifier may bypassCheck pair
81166Brca1 gene full dup/del alys1 - modifier may bypassCheck pair
81167Brca2 gene full dup/del alys1 - modifier may bypassCheck pair
81170Abl1 gene1 - modifier may bypassCheck pair
81191Ntrk1 translocation analysis1 - modifier may bypassCheck pair
81192Ntrk2 translocation analysis1 - modifier may bypassCheck pair
81193Ntrk3 translocation analysis1 - modifier may bypassCheck pair
81194Ntrk translocation analysis1 - modifier may bypassCheck pair
81215Brca1 gene known famil vrnt1 - modifier may bypassCheck pair
81216Brca2 gene full seq alys1 - modifier may bypassCheck pair
81217Brca2 gene known famil vrnt1 - modifier may bypassCheck pair
81228Cytog alys chrml abnr cgh1 - modifier may bypassCheck pair
81229Cytog alys chrml abnr snpcgh1 - modifier may bypassCheck pair
81275Kras gene variants exon 21 - modifier may bypassCheck pair
81276Kras gene addl variants1 - modifier may bypassCheck pair
81307Palb2 gene full gene seq1 - modifier may bypassCheck pair
81351Tp53 gene full gene sequence1 - modifier may bypassCheck pair
81352Tp53 gene trgt sequence alys1 - modifier may bypassCheck pair
81353Tp53 gene known famil vrnt1 - 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

Showing 30 of 52 column 2 codes. Use the pair checker for any specific combination.

0507U is bundled into these codes

0507U appears as a Column 2 code in 28 active edits. Reported with one of these Column 1 codes on the same date of service, 0507U is the code that denies.

Column 1 codeShort descriptionModifier indicator
0019U1Check pair
0037U1Check pair
0048U1Check pair
0103U1Check pair
0174U1Check pair
0211U1Check pair
0239U1Check pair
0242U1Check pair
0244U1Check pair
0250U1Check pair
0297U1Check pair
0298U1Check pair
0300U1Check pair
0306U1Check pair
0326U1Check 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.