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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
0554T | B1 str & fx rsk analysis | 0 - no modifier bypass | Check pair |
0555T | B1 str&fx rsk transmis data | 0 - no modifier bypass | Check pair |
0556T | B1 str & fx rsk assessment | 0 - no modifier bypass | Check pair |
0557T | B1 str & fx rsk i&r | 0 - no modifier bypass | Check pair |
0558T | Ct scan f/biomchn ct alys | 0 - no modifier bypass | Check pair |
0743T | B1 str & fx rsk vrt fx assmt | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
71250 | Ct thorax dx c- | 0 - no modifier bypass | Check pair |
71260 | Ct thorax dx c+ | 0 - no modifier bypass | Check pair |
71270 | Ct thorax dx c-/c+ | 0 - no modifier bypass | Check pair |
71271 | Ct thorax lung cancer scr c- | 0 - no modifier bypass | Check pair |
71275 | Ct angiography chest | 0 - no modifier bypass | Check pair |
72125 | Ct neck spine w/o dye | 0 - no modifier bypass | Check pair |
72126 | Ct neck spine w/dye | 0 - no modifier bypass | Check pair |
72127 | Ct neck spine w/o & w/dye | 0 - no modifier bypass | Check pair |
72128 | Ct chest spine w/o dye | 0 - no modifier bypass | Check pair |
72129 | Ct chest spine w/dye | 0 - no modifier bypass | Check pair |
72130 | Ct chest spine w/o & w/dye | 0 - no modifier bypass | Check pair |
72131 | Ct lumbar spine w/o dye | 0 - no modifier bypass | Check pair |
72132 | Ct lumbar spine w/dye | 0 - no modifier bypass | Check pair |
72133 | Ct lumbar spine w/o & w/dye | 0 - no modifier bypass | Check pair |
72191 | Ct angiograph pelv w/o&w/dye | 0 - no modifier bypass | Check pair |
72192 | Ct pelvis w/o dye | 0 - no modifier bypass | Check pair |
72193 | Ct pelvis w/dye | 0 - no modifier bypass | Check pair |
72194 | Ct pelvis w/o & w/dye | 0 - no modifier bypass | Check pair |
74150 | Ct abdomen w/o contrast | 0 - no modifier bypass | Check pair |
74160 | Ct abdomen w/contrast | 0 - no modifier bypass | Check pair |
74170 | Ct abd wo cntrst flwd cntrst | 0 - no modifier bypass | Check pair |
74174 | Cta abd&plvs w/contrast | 0 - no modifier bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0749T | B1 str&fx rsk assmt dxr-bmd | 1 | Check pair |
0750T | B1 str&fx rsk asmt dxrbmd1vw | 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.