`0525U`

What 0525U 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 0525U at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Analyte. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0525U? These codes are bundled into it

0525U is a Column 1 code in 9 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
`0083U`		1 - modifier may bypass	Check pair
`0248U`		1 - modifier may bypass	Check pair
`0285U`		1 - modifier may bypass	Check pair
`0511U`		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
`88237`	Tissue culture bone marrow	1 - modifier may bypass	Check pair
`88239`	Tissue culture tumor	1 - modifier may bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair

0525U is bundled into these codes

0525U appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 0525U is the code that denies.

Column 1 code	Short description	Modifier indicator
`0435U`		0	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.