0898T N-invas prst8 cancer est map
What 0898T is
CMS fee schedule short descriptor: N-invas prst8 cancer est map.
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 0898T (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 0898T 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 0898T? These codes are bundled into it
0898T is a Column 1 code in 56 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 | |
|---|---|---|---|
0403U | 0 - no modifier bypass | Check pair | |
0424U | 0 - no modifier bypass | Check pair | |
0433U | 0 - no modifier bypass | Check pair | |
0738T | Tx pln mag fld abltj prst8 | 0 - no modifier bypass | Check pair |
0739T | Abltj mal prst8 mag fld ndct | 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 |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
69990 | Microsurgery add-on | 0 - no modifier bypass | Check pair |
76376 | 3d render w/intrp postproces | 0 - no modifier bypass | Check pair |
76377 | 3d render w/intrp postproces | 0 - no modifier bypass | Check pair |
92012 | Intrm oph exam est patient | 1 - modifier may bypass | Check pair |
92014 | Compre oph exam est pt 1/> | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99211 | Off/op est may x req phy/qhp | 1 - modifier may bypass | Check pair |
99212 | Office o/p est sf 10 min | 1 - modifier may bypass | Check pair |
99213 | Office o/p est low 20 min | 1 - modifier may bypass | Check pair |
99214 | Office o/p est mod 30 min | 1 - modifier may bypass | Check pair |
99215 | Office o/p est hi 40 min | 1 - modifier may bypass | Check pair |
99221 | 1st hosp ip/obs sf/low 40 | 1 - modifier may bypass | Check pair |
99222 | 1st hosp ip/obs moderate 55 | 1 - modifier may bypass | Check pair |
99223 | 1st hosp ip/obs high 75 | 1 - modifier may bypass | Check pair |
99231 | Sbsq hosp ip/obs sf/low 25 | 1 - modifier may bypass | Check pair |
99232 | Sbsq hosp ip/obs moderate 35 | 1 - modifier may bypass | Check pair |
99233 | Sbsq hosp ip/obs high 50 | 1 - modifier may bypass | Check pair |
99234 | Hosp ip/obs sm dt sf/low 45 | 1 - modifier may bypass | Check pair |
99235 | Hosp ip/obs same date mod 70 | 1 - modifier may bypass | Check pair |
99236 | Hosp ip/obs same date hi 85 | 1 - modifier may bypass | Check pair |
Showing 30 of 56 column 2 codes. Use the pair checker for any specific combination.
0898T is bundled into these codes
0898T appears as a Column 2 code in 29 active edits. Reported with one of these Column 1 codes on the same date of service, 0898T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0559T | Antmc mdl 3d print 1st cmpnt | 1 | Check pair |
0561T | Antmc guide 3d print 1st gd | 1 | Check pair |
0600T | Ablt ire 1+ o/t lv/prst8 prq | 1 | Check pair |
0601T | Abltj ire 1+tumors open | 1 | Check pair |
0655T | Tprnl focal abltj mal prst8 | 1 | Check pair |
0714T | Tpla b9 prst8 hyprplsa<50ml | 1 | Check pair |
0721T | Quan ct tiss charac w/o ct | 1 | Check pair |
55801 | Removal of prostate | 1 | Check pair |
55810 | Extensive prostate surgery | 1 | Check pair |
55812 | Extensive prostate surgery | 1 | Check pair |
55815 | Extensive prostate surgery | 1 | Check pair |
55821 | Removal of prostate | 1 | Check pair |
55831 | Removal of prostate | 1 | Check pair |
55840 | Extensive prostate surgery | 1 | Check pair |
55842 | Extensive prostate surgery | 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.