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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.

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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 codeShort descriptionModifier indicator
0743TB1 str & fx rsk vrt fx assmt0 - no modifier bypassCheck 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 codeShort descriptionModifier indicator
0554TB1 str & fx rsk analysis0Check pair
0691TAuto alys xst ct std vrt fx0Check pair
0749TB1 str&fx rsk assmt dxr-bmd1Check pair
0750TB1 str&fx rsk asmt dxrbmd1vw1Check 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.