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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
0455U | 1 - modifier may bypass | Check pair | |
0483U | 1 - modifier may bypass | Check pair | |
0484U | 1 - modifier may 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 |
80506 | Path clin consltj prolng svc | 1 - modifier may bypass | Check pair |
81513 | Nfct ds bv rna vag flu alg | 0 - no modifier bypass | Check pair |
87480 | Candida dna dir probe | 0 - no modifier bypass | Check pair |
87481 | Candida dna amp probe | 0 - no modifier bypass | Check pair |
87482 | Candida dna quant | 0 - no modifier bypass | Check pair |
87510 | Gardner vag dna dir probe | 0 - no modifier bypass | Check pair |
87511 | Gardner vag dna amp probe | 0 - no modifier bypass | Check pair |
87512 | Gardner vag dna quant | 0 - no modifier bypass | Check pair |
87660 | Trichomonas vagin dir probe | 0 - no modifier bypass | Check pair |
87661 | Trichomonas vaginalis amplif | 0 - no modifier bypass | Check pair |
87808 | Trichomonas assay w/optic | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0321U | 0 | Check pair | |
0330U | 0 | Check pair | |
0480U | 1 | Check pair | |
0504U | 1 | Check pair | |
0505U | 0 | Check pair | |
81515 | Nfct ds bv&vaginitis dna alg | 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.