Contractor-priced
0705T · PFS Q4 2023 · Historical
No national PFS rate in Q4 2023
Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation.
Check for a published amount in your locality.
PFS status evidence
Inspect PFS status evidence
- Code
- 0705T
- Release
- Q4 2023, revision 1
- Result
- Contractor-priced
Citations
-
Shows this code’s PFS status (C). Result: Contractor-priced.
Physician relative value file (PPRRVU)CMS RVU23DOctober 1 – December 31, 2023
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU23_OCT.csv row 6,291 in rvu23d.zip
In the CMS file
Loading rows 6,289–6,293 of PPRRVU23_OCT.csv…
Download rvu23d.zip from CMS File fingerprint
6558dc4fa634f462f996db05a7e6af5cbe365e93e508b8e24d1cbfb1f610dcbd
CPT 0705T has no published national rate. It carries status C (carrier-priced) in the Q4 2023 release. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. The blank amount means unpriced, not $0.
Why is there no national PFS amount for 0705T?
Its status indicator is C (carrier-priced). Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation.
Which billing rules and modifiers apply? Copy link
CMS indicators that apply to 0705T: PCTC 3 (technical component only).
Technical component only
PCTC
3
Only a technical component exists for this code—there is no corresponding professional-component amount to bill.
Global surgery period XXX (does not apply).
Why would a Medicare claim for 0705T be denied or paid less?
These come from CMS indicators on this page, not general billing advice.
- Its status indicator is C (carrier-priced)—Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. See status indicators
- Only a technical component exists for 0705T—there is no professional-component amount to bill. See billing policy
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
CMS RVU23DOctober 1 – December 31, 2023
Can you bill it with another code? Copy link
Reconciling a contractor-priced payment for 0705T Copy link
What to check (4)
There is no national allowed amount for 0705T, so every reconciliation of this line runs against the MAC fee schedule that was in force for the date of service rather than against a national baseline.
- Compare the paid amount against the MAC fee schedule in force for the date of service; there is no national allowed amount here to reconcile against.
- Only a technical-component amount is published for this code, so a professional charge billed on it has no fee-schedule amount behind it.
- Check whether a second side was billed separately—the published RVUs already price both sides, so there is no additional amount behind that line.
- Reprice the line against the release, locality, setting, modifier and participation status that applied to the date of service before treating any difference as an underpayment.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files; CMS Medicare Physician Fee Schedule Relative Value Files (status indicator field); CMS Medicare Claims Processing Manual (Pub. 100-04).
Source & method Copy link
The PFS file shows this code is priced by the contractor. Its amounts come from the MAC-published schedules and effective dates shown above.
-
01 PPRRVU23_OCT.csv · Q4 2023 (RVU23D) · row 6,291—priced by the contractor
- Effective
- October 1 – December 31, 2023
- Locator
- PPRRVU23_OCT.csv in rvu23d.zip · row 6,291 of 18,168 · via CMS
- Fields read
-
Status C (col 4)SHA-256 6558dc4fa634f462…
Cite this rate
CPT 0705T National PFS baseline: No national PFS rate (Q4 2023; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU23D, PPRRVU23_OCT.csv row 6,291. Localis. https://localishealth.com/cpt/0705T/2023/D
Past releases are never edited, so the citation stays checkable after CMS publishes a newer one. Methodology · Plain-text summary · JSON
How has it changed? Copy link
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
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