81558 Trnspl rej kdn mrna qpcr 139
What 81558 is
CMS fee schedule short descriptor: Trnspl rej kdn mrna qpcr 139.
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 81558 (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 81558 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 81558? These codes are bundled into it
81558 is a Column 1 code in 57 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 | |
|---|---|---|---|
0088U | 0 - no modifier bypass | Check pair | |
0319U | 0 - no modifier 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 |
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 |
81105 | Hpa-1 genotyping | 1 - modifier may bypass | Check pair |
81106 | Hpa-2 genotyping | 1 - modifier may bypass | Check pair |
81107 | Hpa-3 genotyping | 1 - modifier may bypass | Check pair |
81108 | Hpa-4 genotyping | 1 - modifier may bypass | Check pair |
81109 | Hpa-5 genotyping | 1 - modifier may bypass | Check pair |
81110 | Hpa-6 genotyping | 1 - modifier may bypass | Check pair |
81111 | Hpa-9 genotyping | 1 - modifier may bypass | Check pair |
81112 | Hpa-15 genotyping | 1 - modifier may bypass | Check pair |
81265 | Str markers specimen anal | 1 - modifier may bypass | Check pair |
81267 | Chimerism anal no cell selec | 1 - modifier may bypass | Check pair |
81268 | Chimerism anal w/cell select | 1 - modifier may bypass | Check pair |
81370 | Hla i & ii typing lr | 1 - modifier may bypass | Check pair |
81371 | Hla i & ii type verify lr | 1 - modifier may bypass | Check pair |
81372 | Hla i typing complete lr | 1 - modifier may bypass | Check pair |
81373 | Hla i typing 1 locus lr | 1 - modifier may bypass | Check pair |
81374 | Hla i typing 1 antigen lr | 1 - modifier may bypass | Check pair |
81375 | Hla ii typing ag equiv lr | 1 - modifier may bypass | Check pair |
81376 | Hla ii typing 1 locus lr | 1 - modifier may bypass | Check pair |
81377 | Hla ii type 1 ag equiv lr | 1 - modifier may bypass | Check pair |
81378 | Hla i & ii typing hr | 1 - modifier may bypass | Check pair |
81379 | Hla i typing complete hr | 1 - modifier may bypass | Check pair |
81380 | Hla i typing 1 locus hr | 1 - modifier may bypass | Check pair |
81381 | Hla i typing 1 allele hr | 1 - modifier may bypass | Check pair |
Showing 30 of 57 column 2 codes. Use the pair checker for any specific combination.
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.