0555T B1 str&fx rsk transmis data
What 0555T is
CMS fee schedule short descriptor: B1 str&fx rsk transmis data.
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 0555T (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 0555T 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 0555T? These codes are bundled into it
0555T is a Column 1 code in 1 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 | |
|---|---|---|---|
0743T | B1 str & fx rsk vrt fx assmt | 0 - no modifier bypass | Check pair |
0555T is bundled into these codes
0555T appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 0555T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0554T | B1 str & fx rsk analysis | 0 | Check pair |
0691T | Auto alys xst ct std vrt fx | 0 | Check pair |
0749T | B1 str&fx rsk assmt dxr-bmd | 1 | Check pair |
0750T | B1 str&fx rsk asmt dxrbmd1vw | 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.