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0603T Transdermal gfr monitoring

What 0603T is

CMS fee schedule short descriptor: Transdermal gfr monitoring.

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 0603T (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 0603T 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 0603T? These codes are bundled into it

0603T is a Column 1 code in 10 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
0602TTransdermal gfr measurements0 - no modifier bypassCheck pair
36000Place needle in vein0 - no modifier bypassCheck pair
36011Place catheter in vein0 - no modifier bypassCheck pair
36012Place catheter in vein0 - no modifier bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
96365Ther/proph/diag iv inf init0 - no modifier bypassCheck pair
96374Ther/proph/diag inj iv push0 - no modifier bypassCheck pair
96376Tx/pro/dx inj same drug adon0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck 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.