0917T Insj perm ccm-d sys 1 lead
What 0917T is
CMS fee schedule short descriptor: Insj perm ccm-d sys 1 lead.
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 0917T (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 0917T 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 0917T? These codes are bundled into it
0917T is a Column 1 code in 146 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 | |
|---|---|---|---|
00530 | Anes perm transvns pm insj | 0 - no modifier bypass | Check pair |
00534 | Anes insertion/rplcmt cvdfb | 0 - no modifier bypass | Check pair |
0575T | Prgrmg dev eval icds ss ip | 0 - no modifier bypass | Check pair |
0926T | Prgrmg dev eval ccm-d ip | 0 - no modifier bypass | Check pair |
0927T | Interrog dev eval ccm-d ip | 0 - no modifier bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check pair |
11042 | Dbrdmt subq tis 1st 20sqcm/< | 1 - modifier may bypass | Check pair |
11043 | Dbrdmt musc&/fsca 1st 20/< | 1 - modifier may bypass | Check pair |
11044 | Dbrdmt bone 1st 20 sq cm/< | 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 |
12031 | Intmd rpr s/a/t/ext 2.5 cm/< | 1 - modifier may bypass | Check pair |
12032 | Intmd rpr s/a/t/ext 2.6-7.5 | 1 - modifier may bypass | Check pair |
12034 | Intmd rpr s/tr/ext 7.6-12.5 | 1 - modifier may bypass | Check pair |
Showing 30 of 146 column 2 codes. Use the pair checker for any specific combination.
0917T is bundled into these codes
0917T appears as a Column 2 code in 60 active edits. Reported with one of these Column 1 codes on the same date of service, 0917T is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0915T | Insj perm ccm-d sys pg&eltrd | 0 | Check pair |
0931T | Ephys eval ccm-d ld separate | 0 | Check pair |
33206 | Insert heart pm atrial | 0 | Check pair |
33207 | Insert heart pm ventricular | 0 | Check pair |
33208 | Insrt heart pm atrial & vent | 0 | Check pair |
33210 | Insert electrd/pm cath sngl | 0 | Check pair |
33211 | Insert card electrodes dual | 0 | Check pair |
33212 | Insert pulse gen sngl lead | 0 | Check pair |
33213 | Insert pulse gen dual leads | 0 | Check pair |
33214 | Upgrade of pacemaker system | 0 | Check pair |
33215 | Reposition pacing-defib lead | 0 | Check pair |
33216 | Insert 1 electrode pm-defib | 0 | Check pair |
33217 | Insert 2 electrode pm-defib | 0 | Check pair |
33218 | Repair lead pace-defib one | 0 | Check pair |
33220 | Repair lead pace-defib dual | 0 | 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.