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0920T Rmvl perm ccm-d sys 1 pac ld

What 0920T is

CMS fee schedule short descriptor: Rmvl perm ccm-d sys 1 pac ld.

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 0920T (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 0920T 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 0920T? These codes are bundled into it

0920T is a Column 1 code in 281 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
0521TInterrog dev eval wcs ip1 - modifier may bypassCheck pair
0522TPrgrmg dev eval wcs ip1 - modifier may bypassCheck pair
0525TInsj/rplcmt compl iims1 - modifier may bypassCheck pair
0526TInsj/rplcmt iims eltrd only1 - modifier may bypassCheck pair
0527TInsj/rplcmt iims implt mntr1 - modifier may bypassCheck pair
0528TPrgrmg dev eval iims ip1 - modifier may bypassCheck pair
0529TInterrog dev eval iims ip1 - modifier may bypassCheck pair
0530TRemoval complete iims1 - modifier may bypassCheck pair
0531TRemoval iims electrode only1 - modifier may bypassCheck pair
0532TRemoval iims implt mntr only1 - modifier may bypassCheck pair
0571TInsj/rplcmt icds ss eltrd0 - no modifier bypassCheck pair
0572TInsertion ss dfb electrode0 - no modifier bypassCheck pair
0573TRemoval ss dfb electrode0 - no modifier bypassCheck pair
0574TRepos prev ss impl dfb eltrd0 - no modifier bypassCheck pair
0575TPrgrmg dev eval icds ss ip0 - no modifier bypassCheck pair
0576TInterrog dev eval icds ss ip0 - no modifier bypassCheck pair
0577TEphys eval icds ss0 - no modifier bypassCheck pair
0578TRem interrog dev icds phys1 - modifier may bypassCheck pair
0579TRem interrog dev icds tech1 - modifier may bypassCheck pair
0580TRmvl ss impl dfb pg only0 - 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
0650TPrgrmg dev eval scrms remote1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
11000Dbrdmt ecz/infected skin<10%1 - modifier may bypassCheck pair

Showing 30 of 281 column 2 codes. Use the pair checker for any specific combination.

0920T is bundled into these codes

0920T appears as a Column 2 code in 72 active edits. Reported with one of these Column 1 codes on the same date of service, 0920T is the code that denies.

Column 1 codeShort descriptionModifier indicator
0408TInsj/rplc cardiac modulj sys0Check pair
0409TInsj/rplc car modulj pls gn0Check pair
0410TInsj/rplc car modulj atr elt0Check pair
0411TInsj/rplc car modulj vnt elt0Check pair
0412TRmvl cardiac modulj pls gen0Check pair
0413TRmvl car modulj tranvns elt0Check pair
0414TRmvl & rpl car modulj pls gn0Check pair
0415TRepos car modulj tranvns elt0Check pair
0416TReloc skin pocket pls gen0Check pair
0417TPrgrmg eval cardiac modulj0Check pair
0418TInterro eval cardiac modulj0Check pair
0515TInsj wcs lv compl sys1Check pair
0516TInsj wcs lv eltrd only1Check pair
0517TInsj wcs lv both compnt pg1Check pair
0695TBdy srf mpg pm/cvdfb tm impl1Check 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.