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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.

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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 codeShort descriptionModifier indicator
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
0919TRmvl perm ccm-d sys pg only0 - no modifier bypassCheck pair
0920TRmvl perm ccm-d sys 1 pac ld0 - no modifier bypassCheck pair
0921TRmvl perm ccm-d sys 1 dfb ld0 - no modifier bypassCheck pair
0922TRmvl perm ccm-d sys dual ld0 - no modifier bypassCheck pair
0928TRem interrog dev ccm-d phys0 - no modifier bypassCheck pair
0929TRem interrog dev ccm-d tech0 - no modifier bypassCheck pair
0937TXtrnl ecg rec>15d<30d1 - modifier may bypassCheck pair
0938TXtrnl ecg rec>15d<30d rec1 - modifier may bypassCheck pair
0939TXtrnl ecg rec>15d<30d scan1 - modifier may bypassCheck pair
0940TXtrnl ecg rec>15d<30d r&i1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
93000Electrocardiogram complete1 - modifier may bypassCheck pair
93005Electrocardiogram tracing1 - modifier may bypassCheck pair
93010Electrocardiogram report1 - modifier may bypassCheck pair
93040Rhythm ecg with report1 - modifier may bypassCheck pair
93041Rhythm ecg tracing1 - modifier may bypassCheck pair
93042Rhythm ecg report1 - modifier may bypassCheck pair
93224Xtrnl ecg rec up to 48 hrs1 - modifier may bypassCheck pair
93225Xtrnl ecg rec<48 hrs rec1 - modifier may bypassCheck pair
93226Xtrnl ecg rec<48 hr scan a/r1 - modifier may bypassCheck pair
93227Xtrnl ecg rec<48 hr r&i1 - modifier may bypassCheck pair
93228Remote 30 day ecg rev/report1 - modifier may bypassCheck pair
93229Remote 30 day ecg tech supp1 - modifier may bypassCheck pair
93241Xtrnl ecg rec>48hr<7d1 - modifier may bypassCheck pair
93242Ext ecg>48hr<7d recording1 - modifier may bypassCheck pair
93243Ext ecg>48hr<7d scan a/r1 - modifier may bypassCheck 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 codeShort descriptionModifier indicator
0408TInsj/rplc cardiac modulj sys0Check pair
0409TInsj/rplc car modulj pls gn0Check pair
0410TInsj/rplc car modulj atr elt0Check pair
0411TInsj/rplc car modulj vnt elt0Check pair
0412TRmvl cardiac modulj pls gen0Check pair
0413TRmvl car modulj tranvns elt0Check pair
0414TRmvl & rpl car modulj pls gn0Check pair
0415TRepos car modulj tranvns elt0Check pair
0416TReloc skin pocket pls gen1Check pair
0417TPrgrmg eval cardiac modulj0Check pair
0525TInsj/rplcmt compl iims1Check pair
0526TInsj/rplcmt iims eltrd only1Check pair
0527TInsj/rplcmt iims implt mntr1Check pair
0528TPrgrmg dev eval iims ip1Check pair
0530TRemoval complete iims1Check 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.