0878T Augmnt alys ch ct ild w/ct
What 0878T is
CMS fee schedule short descriptor: Augmnt alys ch ct ild w/ct.
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 0878T (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 0878T 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 0878T? These codes are bundled into it
0878T is a Column 1 code in 16 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 | |
|---|---|---|---|
01922 | Anes n-invas img/radj ther | 0 - no modifier bypass | Check pair |
0558T | Ct scan f/biomchn ct alys | 0 - no modifier bypass | Check pair |
0694T | 3d vol img&rcnstj brst/ax | 0 - no modifier 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 |
71250 | Ct thorax dx c- | 1 - modifier may bypass | Check pair |
71260 | Ct thorax dx c+ | 1 - modifier may bypass | Check pair |
71270 | Ct thorax dx c-/c+ | 1 - modifier may bypass | Check pair |
71271 | Ct thorax lung cancer scr c- | 1 - modifier may bypass | Check pair |
71275 | Ct angiography chest | 1 - modifier may bypass | Check pair |
76376 | 3d render w/intrp postproces | 1 - modifier may bypass | Check pair |
76377 | 3d render w/intrp postproces | 1 - modifier may bypass | Check pair |
76380 | Cat scan follow-up study | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99155 | Mod sed oth phys/qhp <5 yrs | 0 - no modifier bypass | Check pair |
99156 | Mod sed oth phys/qhp 5/>yrs | 0 - no modifier bypass | Check pair |
0878T is bundled into these codes
0878T appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, 0878T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0638T | Ct breast w/3d bi c-/c+ | 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.