Home / Medicare fees / 81514

81514 Nfct ds bv&vaginitis dna alg

What 81514 is

CMS fee schedule short descriptor: Nfct ds bv&vaginitis dna alg.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 81514 (CY2026)

This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

Advertisement

Medically Unlikely Edit (MUE)

Medicare caps 81514 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 81514? These codes are bundled into it

81514 is a Column 1 code in 18 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
0455U1 - modifier may bypassCheck pair
0483U1 - modifier may bypassCheck pair
0484U1 - modifier may bypassCheck pair
80503Path clin consltj sf 5-201 - modifier may bypassCheck pair
80504Path clin consltj mod 21-401 - modifier may bypassCheck pair
80505Path clin consltj high 41-601 - modifier may bypassCheck pair
80506Path clin consltj prolng svc1 - modifier may bypassCheck pair
81513Nfct ds bv rna vag flu alg0 - no modifier bypassCheck pair
87480Candida dna dir probe0 - no modifier bypassCheck pair
87481Candida dna amp probe0 - no modifier bypassCheck pair
87482Candida dna quant0 - no modifier bypassCheck pair
87510Gardner vag dna dir probe0 - no modifier bypassCheck pair
87511Gardner vag dna amp probe0 - no modifier bypassCheck pair
87512Gardner vag dna quant0 - no modifier bypassCheck pair
87660Trichomonas vagin dir probe0 - no modifier bypassCheck pair
87661Trichomonas vaginalis amplif0 - no modifier bypassCheck pair
87808Trichomonas assay w/optic0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

81514 is bundled into these codes

81514 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 81514 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0321U0Check pair
0330U0Check pair
0480U1Check pair
0504U1Check pair
0505U0Check pair
81515Nfct ds bv&vaginitis dna alg0Check 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.