0527U
What 0527U 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 0527U at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 0527U? These codes are bundled into it
0527U is a Column 1 code in 27 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 |
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 |
81404 | Mopath procedure level 5 | 1 - modifier may bypass | Check pair |
81405 | Mopath procedure level 6 | 1 - modifier may bypass | Check pair |
81406 | Mopath procedure level 7 | 1 - modifier may bypass | Check pair |
81407 | Mopath procedure level 8 | 1 - modifier may bypass | Check pair |
81408 | Mopath procedure level 9 | 1 - modifier may bypass | Check pair |
87149 | Dna/rna direct probe | 1 - modifier may bypass | Check pair |
87150 | Dna/rna amplified probe | 1 - modifier may bypass | Check pair |
87153 | Dna/rna sequencing | 1 - modifier may bypass | Check pair |
87206 | Smear fluorescent/acid stai | 1 - modifier may bypass | Check pair |
87253 | Virus inoculate tissue addl | 1 - modifier may bypass | Check pair |
87273 | Herpes simplex 2 ag if | 1 - modifier may bypass | Check pair |
87274 | Herpes simplex 1 ag if | 1 - modifier may bypass | Check pair |
87290 | Varicella zoster ag if | 1 - modifier may bypass | Check pair |
87528 | Hsv dna dir probe | 1 - modifier may bypass | Check pair |
87529 | Hsv dna amp probe | 1 - modifier may bypass | Check pair |
87530 | Hsv dna quant | 1 - modifier may bypass | Check pair |
87801 | Detect agnt mult dna ampli | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
0527U is bundled into these codes
0527U appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 0527U is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0505U | 1 | Check pair | |
87154 | Cul typ id bld pthgn 6+ trgt | 1 | Check pair |
87483 | Cns dna amp probe type 12-25 | 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.