87339 H pylori ag ia
What 87339 is
CMS fee schedule short descriptor: H pylori ag ia.
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 87339 (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 87339 at 1 unit 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 87339? These codes are bundled into it
87339 is a Column 1 code in 8 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 | |
|---|---|---|---|
0107U | 1 - modifier may bypass | Check pair | |
78268 | Urea breath test c-14 alys | 1 - modifier may bypass | Check pair |
83013 | H pylori (c-13) breath | 1 - modifier may bypass | Check pair |
87206 | Smear fluorescent/acid stai | 1 - modifier may bypass | Check pair |
87338 | Hpylori stool ag ia | 1 - modifier may bypass | Check pair |
88346 | Imfluor 1st 1antb stain px | 1 - modifier may bypass | Check pair |
88350 | Imfluor ea addl 1antb stn px | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
87339 is bundled into these codes
87339 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 87339 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
83009 | H pylori (c-13) blood | 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.