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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0232T | Njx platelet plasma | 1 - modifier may bypass | Check pair |
0481T | Njx autol wbc concentrate | 1 - modifier may bypass | Check pair |
0490T | Regn cell tx scldr h mlt inj | 1 - modifier may bypass | Check pair |
0565T | Autol cell implt adps hrvg | 1 - modifier may bypass | Check pair |
0566T | Autol cell implt adps njx | 1 - modifier may 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 |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
10030 | Img gid flu coll drg sft tis | 1 - modifier may bypass | Check pair |
10160 | Pnxr aspir absc hmtma bulla | 1 - modifier may bypass | Check pair |
11900 | Inject skin lesions </w 7 | 1 - modifier may bypass | Check pair |
11901 | Inject skin lesions >7 | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 - modifier may bypass | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 - modifier may bypass | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 - modifier may bypass | Check pair |
12011 | Rpr f/e/e/n/l/m 2.5 cm/< | 1 - modifier may bypass | Check pair |
12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | 1 - modifier may bypass | Check pair |
12016 | Rpr fe/e/en/l/m 12.6-20.0 cm | 1 - modifier may bypass | Check pair |
12017 | Rpr fe/e/en/l/m 20.1-30.0 cm | 1 - modifier may bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0335T | Insj sinus tarsi implant | 1 | Check pair |
0510T | Rmvl sinus tarsi implant | 1 | Check pair |
0511T | Rmvl&rinsj sinus tarsi implt | 1 | Check pair |
11010 | Debride skin at fx site | 1 | Check pair |
11750 | Excision nail&nail matrix | 1 | Check pair |
11760 | Repair of nail bed | 1 | Check pair |
11762 | Reconstruction of nail bed | 1 | Check pair |
11765 | Wedge excision skn nail fold | 1 | Check pair |
14000 | Tis trnfr trunk 10 sq cm/< | 1 | Check pair |
14001 | Tis trnfr trunk 10.1-30sqcm | 1 | Check pair |
14020 | Tis trnfr s/a/l 10 sq cm/< | 1 | Check pair |
14021 | Tis trnfr s/a/l 10.1-30 sqcm | 1 | Check pair |
14040 | Tis trnfr f/c/c/m/n/a/g/h/f | 1 | Check pair |
14060 | Tis trnfr e/n/e/l 10 sq cm/< | 1 | Check pair |
14061 | Tis trnfr e/n/e/l10.1-30sqcm | 1 | 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.