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0649T Quan mr tiss w/mri 1orgn

What 0649T is

CMS fee schedule short descriptor: Quan mr tiss w/mri 1orgn.

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 0649T (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 0649T 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 0649T? These codes are bundled into it

0649T is a Column 1 code in 4 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
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
36593Declot vascular device0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

0649T is bundled into these codes

0649T appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 0649T is the code that denies.

Column 1 codeShort descriptionModifier indicator
0648TQuan mr tis wo mri 1orgn1Check pair
0697TQuan mr tis wo mri mlt orgn1Check pair
0698TQuan mr tiss w/mri mlt orgn0Check 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.