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0897T N-invas augmnt arrhyt alys

What 0897T is

CMS fee schedule short descriptor: N-invas augmnt arrhyt alys.

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 0897T (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 0897T 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 0897T? These codes are bundled into it

0897T is a Column 1 code in 9 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
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
93000Electrocardiogram complete0 - no modifier bypassCheck pair
93005Electrocardiogram tracing0 - no modifier bypassCheck pair
93010Electrocardiogram report0 - no modifier bypassCheck pair
93040Rhythm ecg with report1 - modifier may bypassCheck pair
93041Rhythm ecg tracing1 - modifier may bypassCheck pair
93042Rhythm ecg report1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

0897T is bundled into these codes

0897T appears as a Column 2 code in 19 active edits. Reported with one of these Column 1 codes on the same date of service, 0897T is the code that denies.

Column 1 codeShort descriptionModifier indicator
93224Xtrnl ecg rec up to 48 hrs1Check pair
93225Xtrnl ecg rec<48 hrs rec1Check pair
93226Xtrnl ecg rec<48 hr scan a/r1Check pair
93227Xtrnl ecg rec<48 hr r&i1Check pair
93228Remote 30 day ecg rev/report1Check pair
93229Remote 30 day ecg tech supp1Check pair
93241Xtrnl ecg rec>48hr<7d1Check pair
93242Ext ecg>48hr<7d recording1Check pair
93243Ext ecg>48hr<7d scan a/r1Check pair
93244Ext ecg>48hr<7d rev&interpj1Check pair
93245Ext ecg>7d<15d rec scan a/r1Check pair
93246Ext ecg>7d<15d recording1Check pair
93247Ext ecg>7d<15d scan a/r1Check pair
93248Ext ecg>7d<15d rev&interpj1Check pair
93268Ecg record/review1Check 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.