99448 Ntrprof ph1/ntrnet/ehr 21-30
What 99448 is
CMS fee schedule short descriptor: Ntrprof ph1/ntrnet/ehr 21-30.
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 99448 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.05 | 0.56 | 0.09 | 1.70 | $56.78 |
| Facility (hospital, ASC) | 1.05 | 0.29 | 0.09 | 1.43 | $47.76 |
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.
Medically Unlikely Edit (MUE)
Medicare caps 99448 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 99448? These codes are bundled into it
99448 is a Column 1 code in 60 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 | |
|---|---|---|---|
0362T | Bhv id suprt assmt ea 15 min | 1 - modifier may bypass | Check pair |
0373T | Adapt bhv tx ea 15 min | 1 - modifier may bypass | Check pair |
0469T | Rta polarize scan oc scr bi | 0 - no modifier 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 |
76140 | X-ray consultation | 0 - no modifier bypass | Check pair |
93792 | Pt/caregiver traing home inr | 1 - modifier may bypass | Check pair |
93793 | Anticoag mgmt pt warfarin | 0 - no modifier bypass | Check pair |
94002 | Vent mgmt inpat init day | 0 - no modifier bypass | Check pair |
94003 | Vent mgmt inpat subq day | 0 - no modifier bypass | Check pair |
94004 | Vent mgmt nf per day | 0 - no modifier bypass | Check pair |
94660 | Cpap initiation&mgmt | 0 - no modifier bypass | Check pair |
96127 | Brief emotional/behav assmt | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97151 | Bhv id assmt by phys/qhp | 1 - modifier may bypass | Check pair |
97153 | Adaptive behavior tx by tech | 1 - modifier may bypass | Check pair |
97154 | Grp adapt bhv tx by tech | 1 - modifier may bypass | Check pair |
97155 | Adapt behavior tx phys/qhp | 1 - modifier may bypass | Check pair |
97156 | Fam adapt bhv tx gdn phy/qhp | 1 - modifier may bypass | Check pair |
97157 | Mult fam adapt bhv tx gdn | 1 - modifier may bypass | Check pair |
97158 | Grp adapt bhv tx by phy/qhp | 1 - modifier may bypass | Check pair |
98000 | Synch audio-video new sf 15 | 0 - no modifier bypass | Check pair |
98001 | Synch audio-video new low 30 | 0 - no modifier bypass | Check pair |
98002 | Synch audio-video new mod 45 | 0 - no modifier bypass | Check pair |
98003 | Synch audio-video new hi 60 | 0 - no modifier bypass | Check pair |
98004 | Synch audio-video est sf 10 | 0 - no modifier bypass | Check pair |
98005 | Synch audio-video est low 20 | 0 - no modifier bypass | Check pair |
98006 | Synch audio-video est mod 30 | 0 - no modifier bypass | Check pair |
98007 | Synch audio-video est hi 40 | 0 - no modifier bypass | Check pair |
98008 | Synch audio-only new sf 15 | 0 - no modifier bypass | Check pair |
Showing 30 of 60 column 2 codes. Use the pair checker for any specific combination.
99448 is bundled into these codes
99448 appears as a Column 2 code in 6444 active edits. Reported with one of these Column 1 codes on the same date of service, 99448 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
00100 | Anes px salivary gland w/bx | 0 | Check pair |
00102 | Anes px plstc rpr cleft lip | 0 | Check pair |
00103 | Anes rcnstv px eyelid | 0 | Check pair |
00104 | Anes electroconvulsive ther | 0 | Check pair |
00120 | Anes px ear w/bx nos | 0 | Check pair |
00124 | Anes px ear otoscopy | 0 | Check pair |
00126 | Anes px ear tympanotomy | 0 | Check pair |
00140 | Anes procedures on eye nos | 0 | Check pair |
00142 | Anes px on eye lens surgery | 0 | Check pair |
00144 | Anes px eye corneal trnspl | 0 | Check pair |
00145 | Anes px eye vitreortnl surg | 0 | Check pair |
00147 | Anes px on eye iridectomy | 0 | Check pair |
00148 | Anes px eye ophthalmoscopy | 0 | Check pair |
00160 | Anes px nose&sinus nos | 0 | Check pair |
00162 | Anes px nose&sinus rad surg | 0 | 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.