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0697T Quan mr tis wo mri mlt orgn

What 0697T is

CMS fee schedule short descriptor: Quan mr tis wo mri mlt orgn.

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 0697T (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 0697T 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 0697T? These codes are bundled into it

0697T is a Column 1 code in 3 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
0649TQuan mr tiss w/mri 1orgn1 - modifier may bypassCheck pair
0698TQuan mr tiss w/mri mlt orgn1 - modifier may bypassCheck pair
76390Mr spectroscopy1 - modifier may bypassCheck pair

0697T is bundled into these codes

0697T appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 0697T is the code that denies.

Column 1 codeShort descriptionModifier indicator
0648TQuan mr tis wo mri 1orgn1Check 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.