0580T Rmvl ss impl dfb pg only
What 0580T is
CMS fee schedule short descriptor: Rmvl ss impl dfb pg only.
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 0580T (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 0580T 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 0580T? These codes are bundled into it
0580T is a Column 1 code in 74 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 | |
|---|---|---|---|
00530 | Anes perm transvns pm insj | 0 - no modifier bypass | Check pair |
00534 | Anes insertion/rplcmt cvdfb | 0 - no modifier bypass | Check pair |
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 |
0521T | Interrog dev eval wcs ip | 1 - modifier may bypass | Check pair |
0522T | Prgrmg dev eval wcs ip | 1 - modifier may bypass | Check pair |
0525T | Insj/rplcmt compl iims | 1 - modifier may bypass | Check pair |
0526T | Insj/rplcmt iims eltrd only | 1 - modifier may bypass | Check pair |
0527T | Insj/rplcmt iims implt mntr | 1 - modifier may bypass | Check pair |
0528T | Prgrmg dev eval iims ip | 1 - modifier may bypass | Check pair |
0529T | Interrog dev eval iims ip | 1 - modifier may bypass | Check pair |
0572T | Insertion ss dfb electrode | 0 - no modifier bypass | Check pair |
0576T | Interrog dev eval icds ss ip | 0 - no modifier bypass | Check pair |
0921T | Rmvl perm ccm-d sys 1 dfb ld | 0 - no modifier bypass | Check pair |
0922T | Rmvl perm ccm-d sys dual ld | 0 - no modifier bypass | Check pair |
0929T | Rem interrog dev ccm-d tech | 1 - modifier may bypass | Check pair |
0930T | Ephys eval ccm-d ld 1st impl | 1 - modifier may bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11001 | Dbrdmt ecz/infct skn ea addl | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check pair |
11042 | Dbrdmt subq tis 1st 20sqcm/< | 1 - modifier may bypass | Check pair |
11043 | Dbrdmt musc&/fsca 1st 20/< | 1 - modifier may bypass | Check pair |
11044 | Dbrdmt bone 1st 20 sq cm/< | 1 - modifier may bypass | Check pair |
11045 | Dbrdmt subq tiss each addl | 1 - modifier may bypass | Check pair |
11046 | Dbrdmt musc&/fsca ea addl | 1 - modifier may bypass | Check pair |
11047 | Dbrdmt bone each addl | 1 - modifier may bypass | Check pair |
33202 | Insert epicard eltrd open | 0 - no modifier bypass | Check pair |
33203 | Insert epicard eltrd endo | 0 - no modifier bypass | Check pair |
Showing 30 of 74 column 2 codes. Use the pair checker for any specific combination.
0580T is bundled into these codes
0580T appears as a Column 2 code in 282 active edits. Reported with one of these Column 1 codes on the same date of service, 0580T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0515T | Insj wcs lv compl sys | 1 | Check pair |
0516T | Insj wcs lv eltrd only | 1 | Check pair |
0517T | Insj wcs lv both compnt pg | 1 | Check pair |
0519T | Rmv&rplcmt pg wcs lv both | 0 | Check pair |
0575T | Prgrmg dev eval icds ss ip | 0 | Check pair |
0577T | Ephys eval icds ss | 0 | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 | Check pair |
0614T | Rmvl&rplcmt ss impl dfb pg | 0 | Check pair |
0650T | Prgrmg dev eval scrms remote | 0 | Check pair |
0695T | Bdy srf mpg pm/cvdfb tm impl | 0 | Check pair |
0696T | Bdy surf mapg pm/cvdfb f/up | 0 | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 | Check pair |
0709T | Id ca immntx each addl njx | 1 | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 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.