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0691T Auto alys xst ct std vrt fx

What 0691T is

CMS fee schedule short descriptor: Auto alys xst ct std vrt fx.

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 0691T (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 0691T 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 0691T? These codes are bundled into it

0691T is a Column 1 code in 46 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
0554TB1 str & fx rsk analysis0 - no modifier bypassCheck pair
0555TB1 str&fx rsk transmis data0 - no modifier bypassCheck pair
0556TB1 str & fx rsk assessment0 - no modifier bypassCheck pair
0557TB1 str & fx rsk i&r0 - no modifier bypassCheck pair
0558TCt scan f/biomchn ct alys0 - no modifier bypassCheck pair
0743TB1 str & fx rsk vrt fx assmt0 - no modifier bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
71250Ct thorax dx c-0 - no modifier bypassCheck pair
71260Ct thorax dx c+0 - no modifier bypassCheck pair
71270Ct thorax dx c-/c+0 - no modifier bypassCheck pair
71271Ct thorax lung cancer scr c-0 - no modifier bypassCheck pair
71275Ct angiography chest0 - no modifier bypassCheck pair
72125Ct neck spine w/o dye0 - no modifier bypassCheck pair
72126Ct neck spine w/dye0 - no modifier bypassCheck pair
72127Ct neck spine w/o & w/dye0 - no modifier bypassCheck pair
72128Ct chest spine w/o dye0 - no modifier bypassCheck pair
72129Ct chest spine w/dye0 - no modifier bypassCheck pair
72130Ct chest spine w/o & w/dye0 - no modifier bypassCheck pair
72131Ct lumbar spine w/o dye0 - no modifier bypassCheck pair
72132Ct lumbar spine w/dye0 - no modifier bypassCheck pair
72133Ct lumbar spine w/o & w/dye0 - no modifier bypassCheck pair
72191Ct angiograph pelv w/o&w/dye0 - no modifier bypassCheck pair
72192Ct pelvis w/o dye0 - no modifier bypassCheck pair
72193Ct pelvis w/dye0 - no modifier bypassCheck pair
72194Ct pelvis w/o & w/dye0 - no modifier bypassCheck pair
74150Ct abdomen w/o contrast0 - no modifier bypassCheck pair
74160Ct abdomen w/contrast0 - no modifier bypassCheck pair
74170Ct abd wo cntrst flwd cntrst0 - no modifier bypassCheck pair
74174Cta abd&plvs w/contrast0 - no modifier bypassCheck pair

Showing 30 of 46 column 2 codes. Use the pair checker for any specific combination.

0691T is bundled into these codes

0691T appears as a Column 2 code in 2 active edits. Reported with one of these Column 1 codes on the same date of service, 0691T is the code that denies.

Column 1 codeShort descriptionModifier indicator
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.