0494T Prep & cannulj cdvr don lung
What 0494T is
CMS fee schedule short descriptor: Prep & cannulj cdvr don lung.
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 0494T (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 0494T 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 0494T? These codes are bundled into it
0494T is a Column 1 code in 37 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 | |
|---|---|---|---|
0632T | Perq tcat us abltj nrv p-art | 1 - modifier may bypass | Check pair |
36010 | Place catheter in vein | 1 - modifier may bypass | Check pair |
36011 | Place catheter in vein | 1 - modifier may bypass | Check pair |
36012 | Place catheter in vein | 1 - modifier may bypass | Check pair |
36013 | Place catheter in artery | 1 - modifier may bypass | Check pair |
36014 | Place catheter in artery | 1 - modifier may bypass | Check pair |
36015 | Place catheter in artery | 1 - modifier may bypass | Check pair |
36555 | Insert non-tunnel cv cath | 1 - modifier may bypass | Check pair |
36556 | Insert non-tunnel cv cath | 1 - modifier may bypass | Check pair |
36557 | Insert tunneled cv cath | 1 - modifier may bypass | Check pair |
36558 | Insert tunneled cv cath | 1 - modifier may bypass | Check pair |
36560 | Insert tunneled cv cath | 1 - modifier may bypass | Check pair |
36561 | Insert tunneled cv cath | 1 - modifier may bypass | Check pair |
36563 | Insert tunneled cv cath | 1 - modifier may bypass | Check pair |
36565 | Insert tunneled cv cath | 1 - modifier may bypass | Check pair |
36566 | Insert tunneled cv cath | 1 - modifier may bypass | Check pair |
36568 | Insj picc <5 yr w/o imaging | 1 - modifier may bypass | Check pair |
36569 | Insj picc 5 yr+ w/o imaging | 1 - modifier may bypass | Check pair |
36570 | Insert picvad cath | 1 - modifier may bypass | Check pair |
36571 | Insert picvad cath | 1 - modifier may bypass | Check pair |
36572 | Insj picc rs&i <5 yr | 1 - modifier may bypass | Check pair |
36573 | Insj picc rs&i 5 yr+ | 1 - modifier may bypass | Check pair |
36575 | Repair tunneled cv cath | 1 - modifier may bypass | Check pair |
36576 | Repair tunneled cv cath | 1 - modifier may bypass | Check pair |
36578 | Replace tunneled cv cath | 1 - modifier may bypass | Check pair |
36580 | Replace cvad cath | 1 - modifier may bypass | Check pair |
36581 | Replace tunneled cv cath | 1 - modifier may bypass | Check pair |
36582 | Replace tunneled cv cath | 1 - modifier may bypass | Check pair |
36583 | Replace tunneled cv cath | 1 - modifier may bypass | Check pair |
36584 | Compl rplcmt picc rs&i | 1 - modifier may bypass | Check pair |
Showing 30 of 37 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.