0517U
What 0517U 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 0517U 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 0517U? These codes are bundled into it
0517U is a Column 1 code in 96 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 | |
|---|---|---|---|
0007U | 1 - modifier may bypass | Check pair | |
0051U | 1 - modifier may bypass | Check pair | |
0054U | 1 - modifier may bypass | Check pair | |
0093U | 1 - modifier may bypass | Check pair | |
0110U | 1 - modifier may bypass | Check pair | |
0116U | 1 - modifier may bypass | Check pair | |
0227U | 1 - modifier may bypass | Check pair | |
0328U | 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 |
80155 | Drug assay caffeine | 1 - modifier may bypass | Check pair |
80156 | Assay carbamazepine total | 1 - modifier may bypass | Check pair |
80157 | Assay carbamazepine free | 1 - modifier may bypass | Check pair |
80159 | Drug assay clozapine | 1 - modifier may bypass | Check pair |
80164 | Assay dipropylacetic acd tot | 1 - modifier may bypass | Check pair |
80165 | Dipropylacetic acid free | 1 - modifier may bypass | Check pair |
80171 | Drug screen quant gabapentin | 1 - modifier may bypass | Check pair |
80173 | Assay of haloperidol | 1 - modifier may bypass | Check pair |
80175 | Drug screen quan lamotrigine | 1 - modifier may bypass | Check pair |
80178 | Assay of lithium | 1 - modifier may bypass | Check pair |
80184 | Assay of phenobarbital | 1 - modifier may bypass | Check pair |
80201 | Assay of topiramate | 1 - modifier may bypass | Check pair |
80305 | Drug test prsmv dir opt obs | 1 - modifier may bypass | Check pair |
80306 | Drug test prsmv instrmnt | 1 - modifier may bypass | Check pair |
80307 | Drug test prsmv chem anlyzr | 1 - modifier may bypass | Check pair |
80320 | Drug screen quantalcohols | 1 - modifier may bypass | Check pair |
80321 | Alcohols biomarkers 1or 2 | 1 - modifier may bypass | Check pair |
80322 | Alcohols biomarkers 3/more | 1 - modifier may bypass | Check pair |
80323 | Alkaloids nos | 1 - modifier may bypass | Check pair |
80324 | Drug screen amphetamines 1/2 | 1 - modifier may bypass | Check pair |
Showing 30 of 96 column 2 codes. Use the pair checker for any specific combination.
0517U is bundled into these codes
0517U appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, 0517U is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0082U | 1 | Check pair | |
0518U | 1 | Check pair | |
0519U | 1 | Check pair | |
0520U | 1 | Check pair | |
G0483 | Drug test def 22+ classes | 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.