0570T Ttvr perq ea addl prosth
What 0570T is
CMS fee schedule short descriptor: Ttvr perq ea addl prosth.
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 0570T (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 0570T 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 0570T? These codes are bundled into it
0570T is a Column 1 code in 12 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 | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
64450 | Njx aa&/strd other pn/branch | 0 - no modifier bypass | Check pair |
93318 | Echo transesophageal intraop | 1 - modifier may bypass | Check pair |
93593 | R hrt cath chd nml nt cnj | 1 - modifier may bypass | Check pair |
93594 | R hrt cath chd abnl nt cnj | 1 - modifier may bypass | Check pair |
93595 | L hrt cath chd nm/abn nt cnj | 1 - modifier may bypass | Check pair |
93596 | R&l hrt cath chd nml nt cnj | 1 - modifier may bypass | Check pair |
93597 | R&l hrt cath chd abnl nt cnj | 1 - modifier may bypass | Check pair |
93598 | Car outp meas drg cath chd | 1 - modifier may bypass | Check pair |
93662 | Intracardiac ecg (ice) | 0 - no modifier bypass | Check pair |
96376 | Tx/pro/dx inj same drug adon | 1 - modifier may bypass | Check pair |
0570T is bundled into these codes
0570T appears as a Column 2 code in 209 active edits. Reported with one of these Column 1 codes on the same date of service, 0570T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0596T | Temp fml iu vlv-pmp 1st insj | 1 | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 | Check pair |
0632T | Perq tcat us abltj nrv p-art | 1 | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 | Check pair |
0709T | Id ca immntx each addl njx | 1 | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 | Check pair |
12011 | Rpr f/e/e/n/l/m 2.5 cm/< | 1 | Check pair |
12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | 1 | Check pair |
12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | 1 | Check pair |
12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | 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.