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0718T Adrc ther prtl rc tear njx

What 0718T is

CMS fee schedule short descriptor: Adrc ther prtl rc tear njx.

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 0718T (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 0718T 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 0718T? These codes are bundled into it

0718T is a Column 1 code in 286 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
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0232TNjx platelet plasma1 - modifier may bypassCheck pair
0481TNjx autol wbc concentrate1 - modifier may bypassCheck pair
0490TRegn cell tx scldr h mlt inj1 - modifier may bypassCheck pair
0565TAutol cell implt adps hrvg1 - modifier may bypassCheck pair
0566TAutol cell implt adps njx1 - modifier may bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
10030Img gid flu coll drg sft tis1 - modifier may bypassCheck pair
10160Pnxr aspir absc hmtma bulla1 - modifier may bypassCheck pair
11900Inject skin lesions </w 71 - modifier may bypassCheck pair
11901Inject skin lesions >71 - modifier may bypassCheck pair
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck pair
12004Rpr s/n/ax/gen/trk7.6-12.5cm1 - modifier may bypassCheck pair
12005Rpr s/n/a/gen/trk12.6-20.0cm1 - modifier may bypassCheck pair
12006Rpr s/n/a/gen/trk20.1-30.0cm1 - modifier may bypassCheck pair
12007Rpr s/n/ax/gen/trnk >30.0 cm1 - modifier may bypassCheck pair
12011Rpr f/e/e/n/l/m 2.5 cm/<1 - modifier may bypassCheck pair
12013Rpr f/e/e/n/l/m 2.6-5.0 cm1 - modifier may bypassCheck pair
12014Rpr f/e/e/n/l/m 5.1-7.5 cm1 - modifier may bypassCheck pair
12015Rpr f/e/e/n/l/m 7.6-12.5 cm1 - modifier may bypassCheck pair
12016Rpr fe/e/en/l/m 12.6-20.0 cm1 - modifier may bypassCheck pair
12017Rpr fe/e/en/l/m 20.1-30.0 cm1 - modifier may bypassCheck pair

Showing 30 of 286 column 2 codes. Use the pair checker for any specific combination.

0718T is bundled into these codes

0718T appears as a Column 2 code in 415 active edits. Reported with one of these Column 1 codes on the same date of service, 0718T is the code that denies.

Column 1 codeShort descriptionModifier indicator
0335TInsj sinus tarsi implant1Check pair
0510TRmvl sinus tarsi implant1Check pair
0511TRmvl&rinsj sinus tarsi implt1Check pair
11010Debride skin at fx site1Check pair
11750Excision nail&nail matrix1Check pair
11760Repair of nail bed1Check pair
11762Reconstruction of nail bed1Check pair
11765Wedge excision skn nail fold1Check pair
14000Tis trnfr trunk 10 sq cm/<1Check pair
14001Tis trnfr trunk 10.1-30sqcm1Check pair
14020Tis trnfr s/a/l 10 sq cm/<1Check pair
14021Tis trnfr s/a/l 10.1-30 sqcm1Check pair
14040Tis trnfr f/c/c/m/n/a/g/h/f1Check pair
14060Tis trnfr e/n/e/l 10 sq cm/<1Check pair
14061Tis trnfr e/n/e/l10.1-30sqcm1Check 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.