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CPT 0743T

Excluded from PFS

0743T · PFS Q3 2023 · Historical

No national PFS rate in Q3 2023

Status N: non-covered. Medicare covers no part of this service, so the PFS produces no payment amount.

View applicable payment rules
View CMS source and method

CPT 0743T has no published national rate. It carries status N (non-covered) in the Q3 2023 release. Medicare covers no part of this service. The blank amount means unpriced, not $0.

PFS status evidence

Physician relative value file (Q3 2023) · rvu23c.zip (PPRRVU23_JUL.csv row 6,303)
Inspect PFS status evidence
Code
0743T
Release
Q3 2023, revision 1
Result
Excluded from PFS

Citations

  • Shows this code’s PFS status (N). Result: Excluded from PFS.

    Physician relative value file (PPRRVU)

    Q3 2023 · revision 1

    Latest revision of this release

    Release period: July 1 – September 30, 2023

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    Record details PPRRVU23_JUL.csv in rvu23c.zip (row 6,303)
    hcpcs (col 1)
    0743T
    modifier (col 2)
    blank
    status_code (col 4)
    N

    SHA-256: 64251eae48773025b05c6e45a77e1909e7151c421fe8f346124ba9623c491e37

    Original source file

Plain-text summary

Why is there no national PFS amount for 0743T?

Its status indicator is N (non-covered). Medicare covers no part of this service. Status N: non-covered. Medicare covers no part of this service, so the PFS produces no payment amount.

Payment considerations Copy link

Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.

Other payment indicators (10)

Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.

Why would a Medicare claim for 0743T be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is N (non-covered)—Medicare covers no part of this service. See status indicators

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.

Which billing rules and modifiers apply? Copy link

Global period: what 0743T's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Can you bill it with another code? Copy link

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 0743T →

How has it changed? Copy link

Rate history by release Copy link

National Office (non-facility) amount for 0743T across quarterly releases.

Release Status Office Facility
Q4 2026 takes effect Oct 1, 2026 C — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 C — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 C — —
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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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q3 2023 release (effective July 2023). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.

Physician relative value file (Q3 2023) · rvu23c.zip (PPRRVU23_JUL.csv row 6,303)

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

The citation names the release, so anyone can check it even after CMS publishes a newer one.

CPT 0743T National PFS baseline: No national PFS rate (Q3 2023; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/0743T/2023/C