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87071 Culture aerobic quant other

What 87071 is

CMS fee schedule short descriptor: Culture aerobic quant other.

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 87071 (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.

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Medically Unlikely Edit (MUE)

Medicare caps 87071 at 2 units 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: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 87071? These codes are bundled into it

87071 is a Column 1 code in 5 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
87070Culture othr specimn aerobic1 - modifier may bypassCheck pair
87081Culture screen only1 - modifier may bypassCheck pair
87084Culture of specimen by kit1 - modifier may bypassCheck pair
88387Macroscopic xm dsj&prep tiss1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

87071 is bundled into these codes

87071 appears as a Column 2 code in 6 active edits. Reported with one of these Column 1 codes on the same date of service, 87071 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0480U1Check pair
87040Blood culture for bacteria1Check pair
87045Feces culture aerobic bact1Check pair
87046Stool cultr aerobic bact ea1Check pair
87086Urine culture/colony count1Check pair
87088Urine bacteria culture1Check 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.