0418T Interro eval cardiac modulj
What 0418T is
CMS fee schedule short descriptor: Interro eval cardiac modulj.
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 0418T (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 0418T 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 0418T? These codes are bundled into it
0418T is a Column 1 code in 46 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 | |
|---|---|---|---|
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 |
0928T | Rem interrog dev ccm-d phys | 0 - no modifier bypass | Check pair |
0929T | Rem interrog dev ccm-d tech | 0 - no modifier bypass | Check pair |
0937T | Xtrnl ecg rec>15d<30d | 1 - modifier may bypass | Check pair |
0938T | Xtrnl ecg rec>15d<30d rec | 1 - modifier may bypass | Check pair |
0939T | Xtrnl ecg rec>15d<30d scan | 1 - modifier may bypass | Check pair |
0940T | Xtrnl ecg rec>15d<30d r&i | 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 |
93000 | Electrocardiogram complete | 1 - modifier may bypass | Check pair |
93005 | Electrocardiogram tracing | 1 - modifier may bypass | Check pair |
93010 | Electrocardiogram report | 1 - modifier may bypass | Check pair |
93040 | Rhythm ecg with report | 1 - modifier may bypass | Check pair |
93041 | Rhythm ecg tracing | 1 - modifier may bypass | Check pair |
93042 | Rhythm ecg report | 1 - modifier may bypass | Check pair |
93224 | Xtrnl ecg rec up to 48 hrs | 1 - modifier may bypass | Check pair |
93225 | Xtrnl ecg rec<48 hrs rec | 1 - modifier may bypass | Check pair |
93226 | Xtrnl ecg rec<48 hr scan a/r | 1 - modifier may bypass | Check pair |
93227 | Xtrnl ecg rec<48 hr r&i | 1 - modifier may bypass | Check pair |
93228 | Remote 30 day ecg rev/report | 1 - modifier may bypass | Check pair |
93229 | Remote 30 day ecg tech supp | 1 - modifier may bypass | Check pair |
93241 | Xtrnl ecg rec>48hr<7d | 1 - modifier may bypass | Check pair |
93242 | Ext ecg>48hr<7d recording | 1 - modifier may bypass | Check pair |
93243 | Ext ecg>48hr<7d scan a/r | 1 - modifier may bypass | Check pair |
Showing 30 of 46 column 2 codes. Use the pair checker for any specific combination.
0418T is bundled into these codes
0418T appears as a Column 2 code in 34 active edits. Reported with one of these Column 1 codes on the same date of service, 0418T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0408T | Insj/rplc cardiac modulj sys | 0 | Check pair |
0409T | Insj/rplc car modulj pls gn | 0 | Check pair |
0410T | Insj/rplc car modulj atr elt | 0 | Check pair |
0411T | Insj/rplc car modulj vnt elt | 0 | Check pair |
0412T | Rmvl cardiac modulj pls gen | 0 | Check pair |
0413T | Rmvl car modulj tranvns elt | 0 | Check pair |
0414T | Rmvl & rpl car modulj pls gn | 0 | Check pair |
0415T | Repos car modulj tranvns elt | 0 | Check pair |
0416T | Reloc skin pocket pls gen | 1 | Check pair |
0417T | Prgrmg eval cardiac modulj | 0 | Check pair |
0525T | Insj/rplcmt compl iims | 1 | Check pair |
0526T | Insj/rplcmt iims eltrd only | 1 | Check pair |
0527T | Insj/rplcmt iims implt mntr | 1 | Check pair |
0528T | Prgrmg dev eval iims ip | 1 | Check pair |
0530T | Removal complete iims | 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.