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0419T Dstrj neurofibroma xtnsv

What 0419T is

CMS fee schedule short descriptor: Dstrj neurofibroma xtnsv.

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 0419T (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 0419T at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 0419T? These codes are bundled into it

0419T is a Column 1 code in 219 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/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0881TCryotherapy oral cavity1 - modifier may bypassCheck pair
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
11057Parng/cutg b9 hyprkr les >41 - modifier may bypassCheck pair
11102Tangntl bx skin single les1 - modifier may bypassCheck pair
11104Punch bx skin single lesion1 - modifier may bypassCheck pair
11106Incal bx skn single les1 - modifier may bypassCheck pair
11900Inject skin lesions </w 71 - modifier may bypassCheck pair
11901Inject skin lesions >71 - modifier may bypassCheck pair
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck pair
12004Rpr s/n/ax/gen/trk7.6-12.5cm1 - modifier may bypassCheck pair
12005Rpr s/n/a/gen/trk12.6-20.0cm1 - modifier may bypassCheck pair
12006Rpr s/n/a/gen/trk20.1-30.0cm1 - modifier may bypassCheck pair
12007Rpr s/n/ax/gen/trnk >30.0 cm1 - modifier may bypassCheck pair
12011Rpr f/e/e/n/l/m 2.5 cm/<1 - modifier may bypassCheck pair
12013Rpr f/e/e/n/l/m 2.6-5.0 cm1 - modifier may bypassCheck pair
12014Rpr f/e/e/n/l/m 5.1-7.5 cm1 - modifier may bypassCheck pair
12015Rpr f/e/e/n/l/m 7.6-12.5 cm1 - modifier may bypassCheck pair
12016Rpr fe/e/en/l/m 12.6-20.0 cm1 - modifier may bypassCheck pair
12017Rpr fe/e/en/l/m 20.1-30.0 cm1 - modifier may bypassCheck pair
12018Rpr f/e/e/n/l/m >30.0 cm1 - modifier may bypassCheck pair
12020Tx supfc wnd dehsn smpl clsr1 - modifier may bypassCheck pair

Showing 30 of 219 column 2 codes. Use the pair checker for any specific combination.

0419T is bundled into these codes

0419T appears as a Column 2 code in 14 active edits. Reported with one of these Column 1 codes on the same date of service, 0419T is the code that denies.

Column 1 codeShort descriptionModifier indicator
0420TDstrj neurofibroma xtnsv0Check pair
11200Rmvl skin tags up to&inc 151Check pair
11302Shave skin lesion 1.1-2.0 cm1Check pair
11306Shave skin lesion 0.6-1.0 cm1Check pair
11311Shave skin lesion 0.6-1.0 cm1Check pair
11312Shave skin lesion 1.1-2.0 cm1Check pair
11403Exc tr-ext b9+marg 2.1-3cm1Check pair
11440Exc face-mm b9+marg 0.5 cm/<1Check pair
11441Exc face-mm b9+marg 0.6-1 cm1Check pair
11601Exc tr-ext mal+marg 0.6-1 cm1Check pair
17000Destruct premalg lesion1Check pair
17004Destroy premal lesions 15/>1Check pair
17262Dstrj mal les t/a/l 1.1-2.01Check pair
17270Dstr mal les s/n/h/f/g .5 /<1Check 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.