0884T Esphgsc flx 1st tndsc dilat
What 0884T is
CMS fee schedule short descriptor: Esphgsc flx 1st tndsc dilat.
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 0884T (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 0884T at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 0884T? These codes are bundled into it
0884T is a Column 1 code in 239 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 | |
|---|---|---|---|
00520 | Anes closed chest px nos | 0 - no modifier bypass | Check pair |
00731 | Anes upr gi ndsc px nos | 0 - no modifier bypass | Check pair |
00732 | Anes upr gi ndsc px ercp | 0 - no modifier bypass | Check pair |
00813 | Anes upr lwr gi ndsc px | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 1 - modifier may bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 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 |
0652T | Egd flx transnasal dx br/wa | 1 - modifier may bypass | Check pair |
0653T | Egd flx transnasal bx 1/mlt | 1 - modifier may bypass | Check pair |
0654T | Egd flx transnasal tube/cath | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st 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 |
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 |
12018 | Rpr f/e/e/n/l/m >30.0 cm | 1 - modifier may bypass | Check pair |
12020 | Tx supfc wnd dehsn smpl clsr | 1 - modifier may bypass | Check pair |
12021 | Tx supfc wnd dehsn w/packing | 1 - modifier may bypass | Check pair |
Showing 30 of 239 column 2 codes. Use the pair checker for any specific combination.
0884T is bundled into these codes
0884T appears as a Column 2 code in 43 active edits. Reported with one of these Column 1 codes on the same date of service, 0884T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
43210 | Egd esophagogastrc fndoplsty | 0 | Check pair |
43212 | Esophagoscop stent placement | 0 | Check pair |
43240 | Egd w/transmural drain cyst | 0 | Check pair |
43266 | Egd endoscopic stent place | 0 | Check pair |
43280 | Laparoscopy fundoplasty | 1 | Check pair |
43281 | Lap paraesophag hern repair | 1 | Check pair |
43282 | Lap paraesoph her rpr w/mesh | 1 | Check pair |
43300 | Repair of esophagus | 1 | Check pair |
43305 | Repair esophagus and fistula | 1 | Check pair |
43310 | Repair of esophagus | 1 | Check pair |
43312 | Repair esophagus and fistula | 1 | Check pair |
43313 | Esophagoplasty congenital | 1 | Check pair |
43314 | Tracheo-esophagoplasty cong | 1 | Check pair |
43320 | Fuse esophagus & stomach | 1 | Check pair |
43325 | Revise esophagus & stomach | 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.