0819T Revj/rmvl ins ptn subf
What 0819T is
CMS fee schedule short descriptor: Revj/rmvl ins ptn subf.
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 0819T (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 0819T 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 0819T? These codes are bundled into it
0819T is a Column 1 code in 24 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 | |
|---|---|---|---|
0588T | Revision/removal isdns ptn | 0 - no modifier bypass | Check pair |
0589T | Elec alys smpl prgrmg iins | 0 - no modifier bypass | Check pair |
0590T | Elec alys cplx prgrmg iins | 0 - no modifier bypass | Check pair |
0912T | Elec alys nstim sys vgs smpl | 1 - modifier may bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check pair |
11042 | Dbrdmt subq tis 1st 20sqcm/< | 1 - modifier may bypass | Check pair |
11043 | Dbrdmt musc&/fsca 1st 20/< | 1 - modifier may bypass | Check pair |
11044 | Dbrdmt bone 1st 20 sq cm/< | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
64555 | Implant neuroelectrodes | 0 - no modifier bypass | Check pair |
64566 | Neuroeltrd stim post tibial | 0 - no modifier bypass | Check pair |
64575 | Opn impltj nea perph nerve | 0 - no modifier bypass | Check pair |
64590 | Ins/rpl prph sac/gstr npg/r | 0 - no modifier bypass | Check pair |
64596 | Ins/rplcmt prq eltrd ra pn 1 | 0 - no modifier bypass | Check pair |
95970 | Alys npgt w/o prgrmg | 0 - no modifier bypass | Check pair |
95971 | Alys smpl sp/pn npgt w/prgrm | 0 - no modifier bypass | Check pair |
95972 | Alys cplx sp/pn npgt w/prgrm | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97597 | Dbrdmt opn wnd 1st 20 cm/< | 1 - modifier may bypass | Check pair |
97602 | Wound(s) care non-selective | 1 - modifier may bypass | 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.