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80506 Path clin consltj prolng svc

What 80506 is

CMS fee schedule short descriptor: Path clin consltj prolng svc.

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 80506 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)0.800.400.051.25$41.75
Facility (hospital, ASC)0.800.400.051.25$41.75

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.

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Billed with 80506? These codes are bundled into it

80506 is a Column 1 code in 150 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
0733TRem r-t mtn nrehab ther sply0 - no modifier bypassCheck pair
0734TRem r-t mtn nrehab tx mgmt0 - no modifier bypassCheck pair
85060Blood smear interpretation1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair
99202Office o/p new sf 15 min0 - no modifier bypassCheck pair
99203Office o/p new low 30 min0 - no modifier bypassCheck pair
99204Office o/p new mod 45 min0 - no modifier bypassCheck pair
99205Office o/p new hi 60 min0 - no modifier bypassCheck pair
99211Off/op est may x req phy/qhp0 - no modifier bypassCheck pair
99212Office o/p est sf 10 min0 - no modifier bypassCheck pair
99213Office o/p est low 20 min0 - no modifier bypassCheck pair
99214Office o/p est mod 30 min0 - no modifier bypassCheck pair
99215Office o/p est hi 40 min0 - no modifier bypassCheck pair
992211st hosp ip/obs sf/low 400 - no modifier bypassCheck pair
992221st hosp ip/obs moderate 550 - no modifier bypassCheck pair
992231st hosp ip/obs high 750 - no modifier bypassCheck pair
99231Sbsq hosp ip/obs sf/low 250 - no modifier bypassCheck pair
99232Sbsq hosp ip/obs moderate 350 - no modifier bypassCheck pair
99233Sbsq hosp ip/obs high 500 - no modifier bypassCheck pair
99234Hosp ip/obs sm dt sf/low 450 - no modifier bypassCheck pair
99235Hosp ip/obs same date mod 700 - no modifier bypassCheck pair
99236Hosp ip/obs same date hi 850 - no modifier bypassCheck pair
99238Hosp ip/obs dschrg mgmt 30/<0 - no modifier bypassCheck pair
99239Hosp ip/obs dschrg mgmt >300 - no modifier bypassCheck pair
99242Off/op consltj new/est sf 200 - no modifier bypassCheck pair
99243Off/op cnsltj new/est low 300 - no modifier bypassCheck pair
99244Off/op cnsltj new/est mod 400 - no modifier bypassCheck pair
99245Off/op consltj new/est hi 550 - no modifier bypassCheck pair
99252Ip/obs consltj new/est sf 350 - no modifier bypassCheck pair
99253Ip/obs cnsltj new/est low 450 - no modifier bypassCheck pair

Showing 30 of 150 column 2 codes. Use the pair checker for any specific combination.

80506 is bundled into these codes

80506 appears as a Column 2 code in 1087 active edits. Reported with one of these Column 1 codes on the same date of service, 80506 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0001U1Check pair
0002M1Check pair
0002U1Check pair
0003M1Check pair
0003U1Check pair
0004M1Check pair
0005U1Check pair
0006M1Check pair
0007M1Check pair
0007U1Check pair
0008U1Check pair
0009U1Check pair
0010U1Check pair
0011M1Check pair
0011U1Check 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.