76983 Use ea addl target lesion
What 76983 is
CMS fee schedule short descriptor: Use ea addl target lesion.
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 76983 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.46 | 1.32 | 0.04 | 1.82 | $60.79 |
| Facility (hospital, ASC) | 0.46 | 1.32 | 0.04 | 1.82 | $60.79 |
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: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 76983 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 76983? These codes are bundled into it
76983 is a Column 1 code in 10 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 | |
|---|---|---|---|
0689T | Quan us tis charac w/o dx us | 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 |
76514 | Echo exam of eye thickness | 1 - modifier may bypass | Check pair |
76516 | Echo exam of eye | 1 - modifier may bypass | Check pair |
76519 | Echo exam of eye | 1 - modifier may bypass | Check pair |
76857 | Us exam pelvic limited | 1 - modifier may bypass | Check pair |
76882 | Us lmtd jt/fcl evl nvasc xtr | 1 - modifier may bypass | Check pair |
91200 | Liver elastography | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
76983 is bundled into these codes
76983 appears as a Column 2 code in 27 active edits. Reported with one of these Column 1 codes on the same date of service, 76983 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
76506 | Echo exam of head | 1 | Check pair |
76510 | Oph us dx b-scan&quan a-scan | 1 | Check pair |
76511 | Oph us dx quan a-scan only | 1 | Check pair |
76512 | Oph us dx b-scan | 1 | Check pair |
76513 | Oph us dx ant sgm us uni/bi | 1 | Check pair |
76529 | Echo exam of eye | 1 | Check pair |
76536 | Us exam of head and neck | 1 | Check pair |
76604 | Us exam chest | 1 | Check pair |
76641 | Ultrasound breast complete | 1 | Check pair |
76642 | Ultrasound breast limited | 1 | Check pair |
76700 | Us exam abdom complete | 1 | Check pair |
76705 | Echo exam of abdomen | 1 | Check pair |
76706 | Us abdl aorta screen aaa | 1 | Check pair |
76770 | Us exam abdo back wall comp | 1 | Check pair |
76775 | Us exam abdo back wall lim | 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.