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0517U

What 0517U 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 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 codeShort descriptionModifier indicator
0007U1 - modifier may bypassCheck pair
0051U1 - modifier may bypassCheck pair
0054U1 - modifier may bypassCheck pair
0093U1 - modifier may bypassCheck pair
0110U1 - modifier may bypassCheck pair
0116U1 - modifier may bypassCheck pair
0227U1 - modifier may bypassCheck pair
0328U1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
80155Drug assay caffeine1 - modifier may bypassCheck pair
80156Assay carbamazepine total1 - modifier may bypassCheck pair
80157Assay carbamazepine free1 - modifier may bypassCheck pair
80159Drug assay clozapine1 - modifier may bypassCheck pair
80164Assay dipropylacetic acd tot1 - modifier may bypassCheck pair
80165Dipropylacetic acid free1 - modifier may bypassCheck pair
80171Drug screen quant gabapentin1 - modifier may bypassCheck pair
80173Assay of haloperidol1 - modifier may bypassCheck pair
80175Drug screen quan lamotrigine1 - modifier may bypassCheck pair
80178Assay of lithium1 - modifier may bypassCheck pair
80184Assay of phenobarbital1 - modifier may bypassCheck pair
80201Assay of topiramate1 - modifier may bypassCheck pair
80305Drug test prsmv dir opt obs1 - modifier may bypassCheck pair
80306Drug test prsmv instrmnt1 - modifier may bypassCheck pair
80307Drug test prsmv chem anlyzr1 - modifier may bypassCheck pair
80320Drug screen quantalcohols1 - modifier may bypassCheck pair
80321Alcohols biomarkers 1or 21 - modifier may bypassCheck pair
80322Alcohols biomarkers 3/more1 - modifier may bypassCheck pair
80323Alkaloids nos1 - modifier may bypassCheck pair
80324Drug screen amphetamines 1/21 - modifier may bypassCheck 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 codeShort descriptionModifier indicator
0082U1Check pair
0518U1Check pair
0519U1Check pair
0520U1Check pair
G0483Drug test def 22+ classes1Check 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.