`0413T` Rmvl car modulj tranvns elt

What 0413T is

CMS fee schedule short descriptor: Rmvl car modulj tranvns elt.

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 0413T (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 0413T 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 0413T? These codes are bundled into it

0413T is a Column 1 code in 279 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
`00530`	Anes perm transvns pm insj	0 - no modifier bypass	Check pair
`00534`	Anes insertion/rplcmt cvdfb	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
`0415T`	Repos car modulj tranvns elt	1 - modifier may bypass	Check pair
`0416T`	Reloc skin pocket pls gen	1 - modifier may bypass	Check pair
`0417T`	Prgrmg eval cardiac modulj	0 - no modifier bypass	Check pair
`0418T`	Interro eval cardiac modulj	0 - no modifier bypass	Check pair
`0525T`	Insj/rplcmt compl iims	1 - modifier may bypass	Check pair
`0526T`	Insj/rplcmt iims eltrd only	1 - modifier may bypass	Check pair
`0527T`	Insj/rplcmt iims implt mntr	1 - modifier may bypass	Check pair
`0528T`	Prgrmg dev eval iims ip	1 - modifier may bypass	Check pair
`0529T`	Interrog dev eval iims ip	1 - modifier may bypass	Check pair
`0575T`	Prgrmg dev eval icds ss ip	1 - modifier may bypass	Check pair
`0576T`	Interrog dev eval icds ss ip	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
`0632T`	Perq tcat us abltj nrv p-art	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
`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
`0919T`	Rmvl perm ccm-d sys pg only	0 - no modifier bypass	Check pair
`0920T`	Rmvl perm ccm-d sys 1 pac ld	0 - no modifier bypass	Check pair
`0921T`	Rmvl perm ccm-d sys 1 dfb ld	0 - no modifier bypass	Check pair
`0922T`	Rmvl perm ccm-d sys dual ld	0 - no modifier bypass	Check pair
`0924T`	Rpos prv ccm-d trnsvns eltrd	1 - modifier may bypass	Check pair
`0925T`	Rlcj skin pocket ccm-d pg	1 - modifier may bypass	Check pair
`0926T`	Prgrmg dev eval ccm-d ip	0 - no modifier bypass	Check pair

Showing 30 of 279 column 2 codes. Use the pair checker for any specific combination.

0413T is bundled into these codes

0413T appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 0413T is the code that denies.

Column 1 code	Short description	Modifier indicator
`33275`	Tcat rmvl perm ldls pm w/img	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.