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0054T Bone srgry cmptr fluor image

What 0054T is

CMS fee schedule short descriptor: Bone srgry cmptr fluor image.

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 0054T (CY2026)

This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. 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 0054T 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: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0054T? These codes are bundled into it

0054T is a Column 1 code in 50 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
0213TNjx paravert w/us cer/thor1 - modifier may bypassCheck pair
0216TNjx paravert w/us lumb/sac1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
36000Place needle in vein1 - modifier may bypassCheck pair
36410Vnpnxr 3yr/> phy/qhp dx/ther1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
61650Evasc prlng admn rx agnt 1st1 - modifier may bypassCheck pair
62324Njx interlaminar crv/thrc1 - modifier may bypassCheck pair
62325Njx interlaminar crv/thrc1 - modifier may bypassCheck pair
62326Njx interlaminar lmbr/sac1 - modifier may bypassCheck pair
62327Njx interlaminar lmbr/sac1 - modifier may bypassCheck pair
64415Njx aa&/strd brch plxs img1 - modifier may bypassCheck pair
64416Njx aa&/strd brch pl nfs img1 - modifier may bypassCheck pair
64417Njx aa&/strd ax nerve img1 - modifier may bypassCheck pair
64450Njx aa&/strd other pn/branch1 - modifier may bypassCheck pair
64454Njx aa&/strd gnclr nrv brnch1 - modifier may bypassCheck pair
64473Lwr xtr fscl pln blk uni njx1 - modifier may bypassCheck pair
64474Lwr xtr fscl pln blk uni nfs1 - modifier may bypassCheck pair
64486Tap block unil by injection1 - modifier may bypassCheck pair
64487Tap block uni by infusion1 - modifier may bypassCheck pair
64488Tap block bi injection1 - modifier may bypassCheck pair
64489Tap block bi by infusion1 - modifier may bypassCheck pair
64490Inj paravert f jnt c/t 1 lev1 - modifier may bypassCheck pair
64493Inj paravert f jnt l/s 1 lev1 - modifier may bypassCheck pair
69990Microsurgery add-on0 - no modifier bypassCheck pair
76000Fluoroscopy <1 hr phys/qhp1 - modifier may bypassCheck pair
76380Cat scan follow-up study1 - modifier may bypassCheck pair
76942Echo guide for biopsy1 - modifier may bypassCheck pair

Showing 30 of 50 column 2 codes. Use the pair checker for any specific combination.

0054T is bundled into these codes

0054T appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 0054T is the code that denies.

Column 1 codeShort descriptionModifier indicator
61781Scan proc cranial intra1Check pair
61782Scan proc cranial extra1Check pair
61783Scan proc spinal1Check 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.