0263T Im b1 mrw cel ther cmpl
What 0263T is
CMS fee schedule short descriptor: Im b1 mrw cel ther cmpl.
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 0263T (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.
Medically Unlikely Edit (MUE)
Medicare caps 0263T 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: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 0263T? These codes are bundled into it
0263T is a Column 1 code in 141 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 | |
|---|---|---|---|
01120 | Anes px on bony pelvis | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0264T | Im b1 mrw cel ther xcl hrvst | 0 - no modifier bypass | Check pair |
0265T | Im b1 mrw cel ther hrvst onl | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0901T | Plmt bone marrow smplg port | 0 - no modifier bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36400 | Vnpnxr<3yrs phy/qhp fem/jug | 1 - modifier may bypass | Check pair |
36405 | Vnpnxr<3yrs phy/qhp scalp vn | 1 - modifier may bypass | Check pair |
36406 | Vnpnxr<3yrs phy/qhp other vn | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36420 | Venipuncture cutdown < 1 yr | 1 - modifier may bypass | Check pair |
36425 | Venipuncture cutdown 1 yr/> | 1 - modifier may bypass | Check pair |
36430 | Transfusion bld/bld compnt | 1 - modifier may bypass | Check pair |
36440 | Bld push tfuj 2 yr/< | 1 - modifier may 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 |
36600 | Withdrawal of arterial blood | 1 - modifier may bypass | Check pair |
36640 | Insertion catheter artery | 1 - modifier may bypass | Check pair |
38204 | Bl donor search management | 0 - no modifier bypass | Check pair |
38205 | Harvest allogeneic stem cell | 0 - no modifier bypass | Check pair |
38206 | Harvest auto stem cells | 0 - no modifier bypass | Check pair |
38220 | Dx bone marrow aspirations | 0 - no modifier bypass | Check pair |
Showing 30 of 141 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.