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0700T Molec fluor img sus nev 1st

What 0700T is

CMS fee schedule short descriptor: Molec fluor img sus nev 1st.

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 0700T (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 0700T 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 0700T? These codes are bundled into it

0700T is a Column 1 code in 9 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
76000Fluoroscopy <1 hr phys/qhp1 - modifier may bypassCheck pair
76942Echo guide for biopsy1 - modifier may bypassCheck pair
76998Us guide intraop1 - modifier may bypassCheck pair
96931Rcm img acquisj&i&r 1st les1 - modifier may bypassCheck pair
96932Rcm img acquisj only 1st les0 - no modifier bypassCheck pair
96933Rcm i&r only 1st lesion0 - no modifier bypassCheck pair
96934Rcm img acquisj&i&r ea addl1 - modifier may bypassCheck pair
96935Rcm img acquisj only ea addl1 - modifier may bypassCheck pair
96936Rcm i&r only ea addl lesion1 - modifier may bypassCheck pair

0700T is bundled into these codes

0700T appears as a Column 2 code in 30 active edits. Reported with one of these Column 1 codes on the same date of service, 0700T is the code that denies.

Column 1 codeShort descriptionModifier indicator
11102Tangntl bx skin single les1Check pair
11103Tangntl bx skin ea sep/addl1Check pair
11104Punch bx skin single lesion1Check pair
11105Punch bx skin ea sep/addl1Check pair
11106Incal bx skn single les1Check pair
11107Incal bx skn ea sep/addl1Check pair
11400Exc tr-ext b9+marg 0.5 cm<1Check pair
11401Exc tr-ext b9+marg 0.6-1 cm1Check pair
11402Exc tr-ext b9+marg 1.1-2 cm1Check pair
11403Exc tr-ext b9+marg 2.1-3cm1Check pair
11404Exc tr-ext b9+marg 3.1-4 cm1Check pair
11406Exc tr-ext b9+marg >4.0 cm1Check pair
11420Exc h-f-nk-sp b9+marg 0.5/<1Check pair
11421Exc h-f-nk-sp b9+marg 0.6-11Check pair
11422Exc h-f-nk-sp b9+marg 1.1-21Check 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.