55706 Bx prst8 ndl sat sampling
What 55706 is
CMS fee schedule short descriptor: Bx prst8 ndl sat sampling.
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 55706 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 4.16 | 1.40 | 0.53 | 6.09 | $203.41 |
| Facility (hospital, ASC) | 4.16 | 1.40 | 0.53 | 6.09 | $203.41 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).
Medically Unlikely Edit (MUE)
Medicare caps 55706 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 55706? These codes are bundled into it
55706 is a Column 1 code in 243 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 | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 1 - modifier may bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 1 - modifier may bypass | Check pair |
0403U | 1 - modifier may bypass | Check pair | |
0582T | Trurl abltj mal prst8 tiss | 1 - modifier may bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0655T | Tprnl focal abltj mal prst8 | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0714T | Tpla b9 prst8 hyprplsa<50ml | 1 - modifier may bypass | Check pair |
0867T | Tpla b9 prst8 hyprplsa>=50ml | 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 |
10005 | Fna bx w/us gdn 1st les | 1 - modifier may bypass | Check pair |
10007 | Fna bx w/fluor gdn 1st les | 1 - modifier may bypass | Check pair |
10009 | Fna bx w/ct gdn 1st les | 1 - modifier may bypass | Check pair |
10011 | Fna bx w/mr gdn 1st les | 1 - modifier may bypass | Check pair |
10021 | Fna bx w/o img gdn 1st les | 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 |
Showing 30 of 243 column 2 codes. Use the pair checker for any specific combination.
55706 is bundled into these codes
55706 appears as a Column 2 code in 23 active edits. Reported with one of these Column 1 codes on the same date of service, 55706 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0600T | Ablt ire 1+ o/t lv/prst8 prq | 1 | Check pair |
0601T | Abltj ire 1+tumors open | 1 | Check pair |
52601 | Prostatectomy (turp) | 0 | Check pair |
52630 | Remove prostate regrowth | 0 | Check pair |
52648 | Laser surgery of prostate | 0 | Check pair |
52649 | Prostate laser enucleation | 1 | Check pair |
53850 | Prostatic microwave thermotx | 1 | Check pair |
53852 | Prostatic rf thermotx | 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 |
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.