0507U
What 0507U 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 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 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 |
81163 | Brca1&2 gene full seq alys | 1 - modifier may bypass | Check pair |
81164 | Brca1&2 gen ful dup/del alys | 1 - modifier may bypass | Check pair |
81165 | Brca1 gene full seq alys | 1 - modifier may bypass | Check pair |
81166 | Brca1 gene full dup/del alys | 1 - modifier may bypass | Check pair |
81167 | Brca2 gene full dup/del alys | 1 - modifier may bypass | Check pair |
81170 | Abl1 gene | 1 - modifier may bypass | Check pair |
81191 | Ntrk1 translocation analysis | 1 - modifier may bypass | Check pair |
81192 | Ntrk2 translocation analysis | 1 - modifier may bypass | Check pair |
81193 | Ntrk3 translocation analysis | 1 - modifier may bypass | Check pair |
81194 | Ntrk translocation analysis | 1 - modifier may bypass | Check pair |
81215 | Brca1 gene known famil vrnt | 1 - modifier may bypass | Check pair |
81216 | Brca2 gene full seq alys | 1 - modifier may bypass | Check pair |
81217 | Brca2 gene known famil vrnt | 1 - modifier may bypass | Check pair |
81228 | Cytog alys chrml abnr cgh | 1 - modifier may bypass | Check pair |
81229 | Cytog alys chrml abnr snpcgh | 1 - modifier may bypass | Check pair |
81275 | Kras gene variants exon 2 | 1 - modifier may bypass | Check pair |
81276 | Kras gene addl variants | 1 - modifier may bypass | Check pair |
81307 | Palb2 gene full gene seq | 1 - modifier may bypass | Check pair |
81351 | Tp53 gene full gene sequence | 1 - modifier may bypass | Check pair |
81352 | Tp53 gene trgt sequence alys | 1 - modifier may bypass | Check pair |
81353 | Tp53 gene known famil vrnt | 1 - modifier may bypass | Check pair |
81400 | Mopath procedure level 1 | 1 - modifier may bypass | Check pair |
81401 | Mopath procedure level 2 | 1 - modifier may bypass | Check pair |
81402 | Mopath procedure level 3 | 1 - modifier may bypass | Check pair |
81403 | Mopath procedure level 4 | 1 - modifier may bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0019U | 1 | Check pair | |
0037U | 1 | Check pair | |
0048U | 1 | Check pair | |
0103U | 1 | Check pair | |
0174U | 1 | Check pair | |
0211U | 1 | Check pair | |
0239U | 1 | Check pair | |
0242U | 1 | Check pair | |
0244U | 1 | Check pair | |
0250U | 1 | Check pair | |
0297U | 1 | Check pair | |
0298U | 1 | Check pair | |
0300U | 1 | Check pair | |
0306U | 1 | Check pair | |
0326U | 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.