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 RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.80 | 0.40 | 0.05 | 1.25 | $41.75 |
| Facility (hospital, ASC) | 0.80 | 0.40 | 0.05 | 1.25 | $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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
0733T | Rem r-t mtn nrehab ther sply | 0 - no modifier bypass | Check pair |
0734T | Rem r-t mtn nrehab tx mgmt | 0 - no modifier bypass | Check pair |
85060 | Blood smear interpretation | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99202 | Office o/p new sf 15 min | 0 - no modifier bypass | Check pair |
99203 | Office o/p new low 30 min | 0 - no modifier bypass | Check pair |
99204 | Office o/p new mod 45 min | 0 - no modifier bypass | Check pair |
99205 | Office o/p new hi 60 min | 0 - no modifier bypass | Check pair |
99211 | Off/op est may x req phy/qhp | 0 - no modifier bypass | Check pair |
99212 | Office o/p est sf 10 min | 0 - no modifier bypass | Check pair |
99213 | Office o/p est low 20 min | 0 - no modifier bypass | Check pair |
99214 | Office o/p est mod 30 min | 0 - no modifier bypass | Check pair |
99215 | Office o/p est hi 40 min | 0 - no modifier bypass | Check pair |
99221 | 1st hosp ip/obs sf/low 40 | 0 - no modifier bypass | Check pair |
99222 | 1st hosp ip/obs moderate 55 | 0 - no modifier bypass | Check pair |
99223 | 1st hosp ip/obs high 75 | 0 - no modifier bypass | Check pair |
99231 | Sbsq hosp ip/obs sf/low 25 | 0 - no modifier bypass | Check pair |
99232 | Sbsq hosp ip/obs moderate 35 | 0 - no modifier bypass | Check pair |
99233 | Sbsq hosp ip/obs high 50 | 0 - no modifier bypass | Check pair |
99234 | Hosp ip/obs sm dt sf/low 45 | 0 - no modifier bypass | Check pair |
99235 | Hosp ip/obs same date mod 70 | 0 - no modifier bypass | Check pair |
99236 | Hosp ip/obs same date hi 85 | 0 - no modifier bypass | Check pair |
99238 | Hosp ip/obs dschrg mgmt 30/< | 0 - no modifier bypass | Check pair |
99239 | Hosp ip/obs dschrg mgmt >30 | 0 - no modifier bypass | Check pair |
99242 | Off/op consltj new/est sf 20 | 0 - no modifier bypass | Check pair |
99243 | Off/op cnsltj new/est low 30 | 0 - no modifier bypass | Check pair |
99244 | Off/op cnsltj new/est mod 40 | 0 - no modifier bypass | Check pair |
99245 | Off/op consltj new/est hi 55 | 0 - no modifier bypass | Check pair |
99252 | Ip/obs consltj new/est sf 35 | 0 - no modifier bypass | Check pair |
99253 | Ip/obs cnsltj new/est low 45 | 0 - no modifier bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0001U | 1 | Check pair | |
0002M | 1 | Check pair | |
0002U | 1 | Check pair | |
0003M | 1 | Check pair | |
0003U | 1 | Check pair | |
0004M | 1 | Check pair | |
0005U | 1 | Check pair | |
0006M | 1 | Check pair | |
0007M | 1 | Check pair | |
0007U | 1 | Check pair | |
0008U | 1 | Check pair | |
0009U | 1 | Check pair | |
0010U | 1 | Check pair | |
0011M | 1 | Check pair | |
0011U | 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.