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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
93000 | Electrocardiogram complete | 0 - no modifier bypass | Check pair |
93005 | Electrocardiogram tracing | 0 - no modifier bypass | Check pair |
93010 | Electrocardiogram report | 0 - no modifier bypass | Check pair |
93040 | Rhythm ecg with report | 1 - modifier may bypass | Check pair |
93041 | Rhythm ecg tracing | 1 - modifier may bypass | Check pair |
93042 | Rhythm ecg report | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
93224 | Xtrnl ecg rec up to 48 hrs | 1 | Check pair |
93225 | Xtrnl ecg rec<48 hrs rec | 1 | Check pair |
93226 | Xtrnl ecg rec<48 hr scan a/r | 1 | Check pair |
93227 | Xtrnl ecg rec<48 hr r&i | 1 | Check pair |
93228 | Remote 30 day ecg rev/report | 1 | Check pair |
93229 | Remote 30 day ecg tech supp | 1 | Check pair |
93241 | Xtrnl ecg rec>48hr<7d | 1 | Check pair |
93242 | Ext ecg>48hr<7d recording | 1 | Check pair |
93243 | Ext ecg>48hr<7d scan a/r | 1 | Check pair |
93244 | Ext ecg>48hr<7d rev&interpj | 1 | Check pair |
93245 | Ext ecg>7d<15d rec scan a/r | 1 | Check pair |
93246 | Ext ecg>7d<15d recording | 1 | Check pair |
93247 | Ext ecg>7d<15d scan a/r | 1 | Check pair |
93248 | Ext ecg>7d<15d rev&interpj | 1 | Check pair |
93268 | Ecg record/review | 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.