Medicare expected-payment calculator

Enter a code, service location, and date to calculate an allowed amount with CMS evidence.

Claim details

CPT / HCPCS code

Location

Enter a service ZIP or select a locality for carrier pricing.

Date of service

CMS release: 2026 C

Place of service

Office (non-facility)

Facility

Physician participation

Participating

Nonparticipating

Modifiers: None

Select a supplied modifier. Click it again to remove it.

Code does not support a professional/technical split (PCTC indicator 0).

Bilateral adjustment does not apply to this code (indicator 0).

Payable only if supporting documentation establishing the medical necessity of an assistant at surgery is submitted.

Co-surgeon is not permitted for this code.

Team surgery is not permitted for this code.

Single-line modifiers only. Pricing -51? Use the MPPR calculator.

No expected amount for 0658T

Carrier-priced codes require a specific Medicare locality. Select one below; there is no national MAC amount. Release 2026 C · status C (Carrier-priced)

Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation.

Why no amount for these inputs? View evidence

Code: 0658T
DOS: Not supplied
Locality: National (GPCI 1.000)
Service ZIP: Not supplied
Setting: Office (non-facility)
Participation: Participating provider
Modifiers: None
Units: 1
Release: Q3 2026, revision 1
Sequestration: Shown separately from the allowed amount

Carrier-priced codes require a specific Medicare locality. Select one below; there is no national MAC amount.

Citations

Establishes the PFS status of the base code.
Physician relative value file (PPRRVU)
Q3 2026 · revision 1

Latest revision of this release

Release period: July 1 – September 30, 2026

This status record alone does not establish an allowed amount or a coverage determination.

Record details
PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 620)

hcpcs (col 1)

0658T

modifier (col 2)

blank

status_code (col 4)

C

SHA-256: b7d197e73211ef6854c213c267d5fa9dec8df995db8e1ee7d44c0556ad7cee21

Original source file

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