0692T Therapeutic ultrafiltration
What 0692T is
CMS fee schedule short descriptor: Therapeutic ultrafiltration.
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 0692T (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 0692T 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 0692T? These codes are bundled into it
0692T is a Column 1 code in 62 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 | |
|---|---|---|---|
0342T | Thxp apheresis w/hdl delip | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
36516 | Apheresis immunoads slctv | 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 |
38225 | Car-t hrv bld-drv t lymphcyt | 0 - no modifier bypass | Check pair |
64451 | Njx aa&/strd nrv nrvtg si jt | 0 - no modifier bypass | Check pair |
64454 | Njx aa&/strd gnclr nrv brnch | 0 - no modifier bypass | Check pair |
93355 | Echo transesophageal (tee) | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99202 | Office o/p new sf 15 min | 1 - modifier may bypass | Check pair |
99203 | Office o/p new low 30 min | 1 - modifier may bypass | Check pair |
99204 | Office o/p new mod 45 min | 1 - modifier may bypass | Check pair |
99205 | Office o/p new hi 60 min | 1 - modifier may bypass | Check pair |
99281 | Emr dpt vst mayx req phy/qhp | 1 - modifier may bypass | Check pair |
99282 | Emergency dept visit sf mdm | 1 - modifier may bypass | Check pair |
99283 | Emergency dept visit low mdm | 1 - modifier may bypass | Check pair |
99284 | Emergency dept visit mod mdm | 1 - modifier may bypass | Check pair |
99285 | Emergency dept visit hi mdm | 1 - modifier may bypass | Check pair |
99304 | 1st nf care sf/low mdm 25 | 1 - modifier may bypass | Check pair |
99305 | 1st nf care moderate mdm 35 | 1 - modifier may bypass | Check pair |
99306 | 1st nf care high mdm 50 | 1 - modifier may bypass | Check pair |
99307 | Sbsq nf care sf mdm 10 | 1 - modifier may bypass | Check pair |
99308 | Sbsq nf care low mdm 20 | 1 - modifier may bypass | Check pair |
99309 | Sbsq nf care moderate mdm 30 | 1 - modifier may bypass | Check pair |
99310 | Sbsq nf care high mdm 45 | 1 - modifier may bypass | Check pair |
99341 | Home/res vst new sf mdm 15 | 1 - modifier may bypass | Check pair |
99342 | Home/res vst new low mdm 30 | 1 - modifier may bypass | Check pair |
99344 | Home/res vst new mod mdm 60 | 1 - modifier may bypass | Check pair |
Showing 30 of 62 column 2 codes. Use the pair checker for any specific combination.
0692T is bundled into these codes
0692T appears as a Column 2 code in 11 active edits. Reported with one of these Column 1 codes on the same date of service, 0692T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
36511 | Apheresis wbc | 0 | Check pair |
36512 | Apheresis rbc | 0 | Check pair |
36513 | Apheresis platelets | 0 | Check pair |
36514 | Apheresis plasma | 0 | Check pair |
36522 | Photopheresis | 1 | Check pair |
38206 | Harvest auto stem cells | 0 | Check pair |
90935 | Hemodialysis one evaluation | 0 | Check pair |
90937 | Hemodialysis repeated eval | 0 | Check pair |
90945 | Dialysis one evaluation | 0 | Check pair |
90947 | Dialysis repeated eval | 0 | Check pair |
Q2043 | Sipuleucel-t auto cd54+ | 0 | 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.