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0915T Insj perm ccm-d sys pg&eltrd

What 0915T is

CMS fee schedule short descriptor: Insj perm ccm-d sys pg&eltrd.

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 0915T (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 0915T 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 0915T? These codes are bundled into it

0915T is a Column 1 code in 264 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
00530Anes perm transvns pm insj0 - no modifier bypassCheck pair
00534Anes insertion/rplcmt cvdfb0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0409TInsj/rplc car modulj pls gn0 - no modifier bypassCheck pair
0410TInsj/rplc car modulj atr elt0 - no modifier bypassCheck pair
0411TInsj/rplc car modulj vnt elt0 - no modifier bypassCheck pair
0414TRmvl & rpl car modulj pls gn0 - no modifier bypassCheck pair
0415TRepos car modulj tranvns elt0 - no modifier bypassCheck pair
0416TReloc skin pocket pls gen0 - no modifier bypassCheck pair
0417TPrgrmg eval cardiac modulj0 - no modifier bypassCheck pair
0418TInterro eval cardiac modulj0 - no modifier bypassCheck pair
0575TPrgrmg dev eval icds ss ip1 - modifier may bypassCheck pair
0576TInterrog dev eval icds ss ip0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0632TPerq tcat us abltj nrv p-art1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0916TInsj perm ccm-d sys pg only0 - no modifier bypassCheck pair
0917TInsj perm ccm-d sys 1 lead0 - no modifier bypassCheck pair
0918TInsj perm ccm-d sys dual ld0 - no modifier bypassCheck pair
0919TRmvl perm ccm-d sys pg only0 - no modifier bypassCheck pair
0923TRmvl&rplcmt perm ccm-d pg0 - no modifier bypassCheck pair
0924TRpos prv ccm-d trnsvns eltrd0 - no modifier bypassCheck pair
0925TRlcj skin pocket ccm-d pg0 - no modifier bypassCheck pair
0926TPrgrmg dev eval ccm-d ip0 - no modifier bypassCheck pair
0927TInterrog dev eval ccm-d ip0 - no modifier bypassCheck pair
11000Dbrdmt ecz/infected skin<10%1 - modifier may bypassCheck pair
11004Dbrdmt skin xtrnl gent&per1 - modifier may bypassCheck pair
11005Dbrdmt skin abdominal wall1 - modifier may bypassCheck pair

Showing 30 of 264 column 2 codes. Use the pair checker for any specific combination.

0915T is bundled into these codes

0915T appears as a Column 2 code in 59 active edits. Reported with one of these Column 1 codes on the same date of service, 0915T is the code that denies.

Column 1 codeShort descriptionModifier indicator
0931TEphys eval ccm-d ld separate0Check pair
33206Insert heart pm atrial0Check pair
33207Insert heart pm ventricular0Check pair
33208Insrt heart pm atrial & vent0Check pair
33210Insert electrd/pm cath sngl0Check pair
33211Insert card electrodes dual0Check pair
33212Insert pulse gen sngl lead0Check pair
33213Insert pulse gen dual leads0Check pair
33214Upgrade of pacemaker system0Check pair
33215Reposition pacing-defib lead0Check pair
33216Insert 1 electrode pm-defib0Check pair
33217Insert 2 electrode pm-defib0Check pair
33218Repair lead pace-defib one0Check pair
33220Repair lead pace-defib dual0Check pair
33221Insert pulse gen mult leads0Check 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.