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0695T Bdy srf mpg pm/cvdfb tm impl

What 0695T is

CMS fee schedule short descriptor: Bdy srf mpg pm/cvdfb tm impl.

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 0695T (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 0695T 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 0695T? These codes are bundled into it

0695T is a Column 1 code in 390 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
00410Anes integ sys conv arrhyt0 - no modifier bypassCheck pair
00530Anes perm transvns pm insj0 - no modifier bypassCheck pair
00537Anes cardiac ep procedures0 - no modifier bypassCheck pair
00540Anes thoracotomy px nos0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0521TInterrog dev eval wcs ip1 - modifier may bypassCheck pair
0522TPrgrmg dev eval wcs ip1 - modifier may bypassCheck pair
0525TInsj/rplcmt compl iims1 - modifier may bypassCheck pair
0526TInsj/rplcmt iims eltrd only1 - modifier may bypassCheck pair
0527TInsj/rplcmt iims implt mntr0 - no modifier bypassCheck pair
0528TPrgrmg dev eval iims ip1 - modifier may bypassCheck pair
0529TInterrog dev eval iims ip1 - modifier may bypassCheck pair
0530TRemoval complete iims1 - modifier may bypassCheck pair
0531TRemoval iims electrode only1 - modifier may bypassCheck pair
0532TRemoval iims implt mntr only1 - modifier may bypassCheck pair
0571TInsj/rplcmt icds ss eltrd0 - no modifier bypassCheck pair
0572TInsertion ss dfb electrode0 - no modifier bypassCheck pair
0573TRemoval ss dfb electrode0 - no modifier bypassCheck pair
0574TRepos prev ss impl dfb eltrd0 - no modifier bypassCheck pair
0575TPrgrmg dev eval icds ss ip0 - no modifier bypassCheck pair
0576TInterrog dev eval icds ss ip0 - no modifier bypassCheck pair
0577TEphys eval icds ss0 - no modifier bypassCheck pair
0578TRem interrog dev icds phys0 - no modifier bypassCheck pair
0579TRem interrog dev icds tech0 - no modifier bypassCheck pair
0580TRmvl ss impl dfb pg only0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0614TRmvl&rplcmt ss impl dfb pg1 - modifier may bypassCheck pair
0632TPerq tcat us abltj nrv p-art1 - modifier may bypassCheck pair

Showing 30 of 390 column 2 codes. Use the pair checker for any specific combination.

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.