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CPT 0889T

No national payment amount

Carrier-priced: no national payment amount.

Does Medicare pay separately for CPT 0889T in 2026?

Not at a published national rate. CPT 0889T carries status C (carrier-priced) in the Q3 2026 release. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Treat the blank amount as unpriced, not as $0.

Common questions

Why is there no payment amount for 0889T?

Its status indicator is C (carrier-priced). Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

Why would a Medicare claim for 0889T be denied or paid less?

Each item below comes from a CMS indicator 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
  • 13 codes can never be billed with 0889T on the same date of service — NCCI denies those pairs even with a modifier. See billing together
  • 144 codes pair with 0889T only when modifier 59 (or XE, XS, XP, XU) documents a distinct service — billed together without one, a line of the pair denies. See billing together
  • Bilateral surgery: no bilateral adjustment. See billing policy
  • Assistant at surgery: never separately payable. See billing policy
  • Co-surgeons: not permitted. See billing policy
  • Team surgery: not permitted. 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.

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.

Saw this code on your bill?

What is a 0889T visit in patient-friendly terms?

We haven't written the plain-language description for CPT 0889T yet — ask your provider's billing office what service it covers in the meantime.

Computation & policy

How this amount is computed

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Release Q3 2026

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

Billing policy

What 0889T's billing-policy indicators mean. These show for every code, priced or not: a restriction like "bilateral not allowed" still matters on a carrier-priced code.

Policy Value What it means
Bilateral surgery 0 No bilateral adjustment. The 150% bilateral payment adjustment does not apply to this procedure.
Assistant at surgery 1 Never separately payable. An assistant at surgery may never be separately paid for this procedure — a statutory restriction.
Co-surgeons 0 Not permitted. Medicare does not recognize co-surgeons (modifier 62) for this procedure.
Team surgery 0 Not permitted. Medicare does not recognize a surgical team (modifier 66) for this procedure.
Multiple procedures 0 No reduction. No payment reduction applies when this procedure is billed with other procedures on the same date — each is treated as unrelated.
Professional/technical split 0 No PC/TC split. This is a physician service code; the professional/technical split does not apply, and the code is billed as a single service.
History & related

Rate history by release

National non-facility amount for 0889T across quarterly releases.

Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 – present C
Q2 2026 Mar 10, 2026 – Jun 29, 2026 C
Q1 2026 Dec 29, 2025 – Mar 9, 2026 C

Billing together (NCCI edits)

NCCI Q3 2026

Based on CMS's National Correct Coding Initiative (NCCI) — hover a code to see how it's used.

Never billable with 0889T on the same date of service

70551 - Brain MRI Without Contrast
70553 - MRI Brain, With and Without Contrast
90868 - Transcranial Magnetic Stimulation, Follow-Up Treatment Session

Showing 3 of 13 — search above to check a specific code.

Billable with 0889T only with modifier 59, XE, XS, XP, or XU

0362T - Intensive Behavioral Assessment for Destructive Behavior
0373T - Intensive Behavioral Treatment for Destructive Behavior
12001 - Simple Wound Repair, Small
12032 - Layered Wound Repair, Trunk or Limbs (Mid-Length)
13101 - Complex Wound Repair of the Trunk (Mid-Length)
13121 - Complex Wound Repair of Scalp, Arms, or Legs (Mid-Length)
13132 - Complex Wound Repair of Face, Neck, Hands, or Feet (Mid-Length)
90791 - Psychiatric Diagnostic Evaluation
90792 - Psychiatric Diagnostic Evaluation with Medical Assessment
90832 - Individual Psychotherapy, 30 Minutes
90834 - Psychotherapy, 45 Minutes
90837 - Psychotherapy, 60 Minutes
90853 - Group Psychotherapy
92012 - Established Patient Eye Exam, Intermediate Level
92014 - Comprehensive Eye Exam, Established Patient
95910 - Nerve Conduction Studies, 7-8 Studies
95911 - Nerve Conduction Studies, 9-10 Studies
99202 - New Patient Office Visit, Level 2
99203 - New Patient Office Visit, Level 3
99204 - New Patient Office Visit, Level 4
99205 - New Patient Office Visit, Level 5
99211 - Established Patient Office Visit, Minimal
99212 - Established Patient Office Visit, Level 2
99213 - Established Patient Office Visit, Level 3
99214 - Established Patient Office Visit, Level 4
99215 - Established Patient Office Visit, Level 5
99221 - Initial Hospital Care, Level 1
99222 - Initial Hospital Care, Level 2
99223 - Initial Hospital Care, Level 3
99231 - Subsequent Hospital Care, Level 1
99232 - Subsequent Hospital Care, Level 2
99233 - Subsequent Hospital Care, Level 3
99238 - Hospital Discharge Day Management, 30 Minutes or Less
99239 - Hospital Discharge Day Management, Longer Visit
99283 - Emergency Department Visit, Level 3
99284 - Emergency Department Visit, Level 4
99285 - Emergency Department Visit, Level 5
99291 - Critical Care, First Time Block
99483 - Cognitive Assessment and Care Plan Visit
99495 - Transitional Care Management, Moderate Complexity
99496 - Transitional Care Management, High Complexity
99497 - Advance Care Planning Discussion

Showing 3 of 144 — search above to check a specific code.

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Source & method

This is computed from CMS's Medicare Physician Fee Schedule Q3 2026 release (schedule pfs, effective July 2026). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them.

Conversion factor $33.4009 read from the same file, row 11, column 26.

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

Cite this rate

This link keeps pointing at the Q3 2026 figures, even after a newer release lands.

CPT 0889T Medicare Physician Fee Schedule rate (Q3 2026). Localis. https://localishealth.com/cpt/0889T/2026/C