`0542T` Myocardial imaging mcg i&r

What 0542T is

CMS fee schedule short descriptor: Myocardial imaging mcg i&r.

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 0542T (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 0542T 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 0542T? These codes are bundled into it

0542T is a Column 1 code in 45 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
`0694T`	3d vol img&rcnstj brst/ax	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
`36000`	Place needle in vein	1 - modifier may bypass	Check pair
`36005`	Injection ext venography	1 - modifier may bypass	Check pair
`36410`	Vnpnxr 3yr/> phy/qhp dx/ther	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
`76000`	Fluoroscopy <1 hr phys/qhp	1 - modifier may bypass	Check pair
`76376`	3d render w/intrp postproces	1 - modifier may bypass	Check pair
`76377`	3d render w/intrp postproces	1 - modifier may bypass	Check pair
`76942`	Echo guide for biopsy	1 - modifier may bypass	Check pair
`76998`	Us guide intraop	1 - modifier may bypass	Check pair
`77001`	Fluoroguide for vein device	1 - modifier may bypass	Check pair
`77002`	Needle localization by xray	1 - modifier may bypass	Check pair
`77790`	Radiation handling	0 - no modifier bypass	Check pair
`78445`	Vascular flow imaging	0 - no modifier bypass	Check pair
`78472`	Gated heart planar single	0 - no modifier bypass	Check pair
`78473`	Gated heart multiple	0 - no modifier bypass	Check pair
`78481`	Heart first pass single	0 - no modifier bypass	Check pair
`78483`	Heart first pass multiple	0 - no modifier bypass	Check pair
`78496`	Heart first pass add-on	0 - no modifier bypass	Check pair
`78580`	Lung perfusion imaging	0 - no modifier bypass	Check pair
`78582`	Lung ventilat&perfus imaging	0 - no modifier bypass	Check pair
`78597`	Lung perfusion differential	0 - no modifier bypass	Check pair
`78598`	Lung perf&ventilat diferentl	0 - no modifier bypass	Check pair
`78635`	Csf ventriculography	0 - no modifier bypass	Check pair
`96360`	Hydration iv infusion init	1 - modifier may bypass	Check pair
`96365`	Ther/proph/diag iv inf init	1 - modifier may bypass	Check pair
`96372`	Ther/proph/diag inj sc/im	1 - modifier may bypass	Check pair

Showing 30 of 45 column 2 codes. Use the pair checker for any specific combination.

0542T is bundled into these codes

0542T appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, 0542T is the code that denies.

Column 1 code	Short description
`78451`	Ht muscle image spect sing	Check pair
`78452`	Ht muscle image spect mult	Check pair
`78453`	Ht muscle image planar sing	Check pair
`78454`	Ht musc image planar mult	Check pair
`79101`	Nuclear rx iv admin	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.