Excluded from PFS
90377 · PFS Q4 2026
Status E is not separately payable under the PFS.
CMS RVU26DOctober 1 – December 31, 2026revision 2
PFS status evidence
Inspect PFS status evidence
- Code
- 90377
- Release
- Q4 2026, revision 2
- Result
- Excluded from PFS
Citations
-
Shows this code’s PFS status (E). Result: Excluded from PFS.
Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU2026_Oct_nonQPP.csv row 11,400 in rvu26d-updated-08-26-2026.zip
In the CMS file
Loading rows 11,398–11,402 of PPRRVU2026_Oct_nonQPP.csv…
Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint
4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626
CPT 90377 has no published national rate. It carries status E (excluded) in the Q4 2026 release. A regulation removes this code from the fee schedule. When covered, it is paid under reasonable charge procedures instead. The blank amount means unpriced, not $0.
Why is there no national PFS amount for 90377?
Its status indicator is E (excluded). A regulation removes this code from the fee schedule. When covered, it is paid under reasonable charge procedures instead. Status E is not separately payable under the PFS.
Which billing rules and modifiers apply? Copy link
CMS's surgical and split-billing indicators don't adjust 90377's amount.
Global surgery period XXX (does not apply).
Why would a Medicare claim for 90377 be denied or paid less?
These come from CMS indicators on this page, not general billing advice.
- Its status indicator is E (excluded)—A regulation removes this code from the fee schedule. When covered, it is paid under reasonable charge procedures instead. See status indicators
- 5 codes form NCCI pairs with 90377 carrying modifier indicator 0—no NCCI-associated modifier bypasses the edit, so billed together on the same date of service, a line of the pair denies. See billing together
- More than 20 units per patient per date of service exceeds 90377's Medically Unlikely Edit (MUE) limit. See billing together
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 RVU26DOctober 1 – December 31, 2026revision 2
Can you bill it with another code? Copy link
90377 has 5 NCCI pairs (Q4 2026) and an MUE of 20 units per patient per date of service.
Medically Unlikely Edit (MUE) limit
20 units
Per patient per date of service
Source & method Copy link
-
01 PPRRVU2026_Oct_nonQPP.csv · Q4 2026 (RVU26D) · row 11,400—status E, RVUs limits
- Effective
- October 1 – December 31, 2026
- Locator
- PPRRVU2026_Oct_nonQPP.csv in rvu26d-updated-08-26-2026.zip · row 11,400 of 19,453 · via CMS
- Fields read
-
Status E (col 4)SHA-256 4d0d3f19bd954ffc…
- Doesn’t establish
- A locality-adjusted allowed amount, or the payment after sequestration. National baselines use GPCI 1.000 and exclude sequestration.
- Note
- Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero.
-
02 NCCI · Q4 2026—the code-pair edits
- Source
- National Correct Coding Initiative (NCCI)
- Effective
- Same quarter as the Q4 2026 rate
Cite this rate
CPT 90377 National PFS baseline: No national PFS rate (Q4 2026; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU26D, PPRRVU2026_Oct_nonQPP.csv row 11,400. Localis. https://localishealth.com/cpt/90377/2026/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
— Office (non-facility) and — Facility since Jan 1, 2021.
-
Jan 1, 2024 – Mar 8, 2024 · Superseded revision
Q1 2024 rev 1
Revision 1, later corrected by CMS- Office
- —
- Facility
- —
-
Jan 1, 2021 – present
Q1 2021
Still in effect · 24 releases at this rate- Office
- —
- Facility
- —
Q1 2021 Jan 1, 2021 – Mar 31, 2021 · Q2 2021 Apr 1, 2021 – Jun 30, 2021 · Q3 2021 Jul 1, 2021 – Sep 30, 2021 · Q4 2021 Oct 1, 2021 – Dec 31, 2021 · Q1 2022 Jan 1, 2022 – Mar 31, 2022 · Q2 2022 Apr 1, 2022 – Jun 30, 2022 · Q3 2022 Jul 1, 2022 – Sep 30, 2022 · Q4 2022 Oct 1, 2022 – Dec 31, 2022 · Q1 2023 Jan 1, 2023 – Mar 31, 2023 · Q2 2023 Apr 1, 2023 – Jun 30, 2023 · Q3 2023 Jul 1, 2023 – Sep 30, 2023 · Q4 2023 Oct 1, 2023 – Dec 31, 2023 · Q1 2024 Mar 9, 2024 – Mar 31, 2024 · Q2 2024 Apr 1, 2024 – Jun 30, 2024 · Q3 2024 Jul 1, 2024 – Sep 30, 2024 · Q4 2024 Oct 1, 2024 – Dec 31, 2024 · Q1 2025 Jan 1, 2025 – Mar 31, 2025 · Q2 2025 Apr 1, 2025 – Jun 30, 2025 · Q3 2025 Jul 1, 2025 – Sep 30, 2025 · Q4 2025 Oct 1, 2025 – Dec 31, 2025 · Q1 2026 Jan 1, 2026 – Mar 31, 2026 · Q2 2026 Apr 1, 2026 – Jun 30, 2026 · Q3 2026 Jul 1, 2026 – Sep 30, 2026 · Q4 2026 Oct 1, 2026 – present
Earliest release in this history.
National baseline (GPCI 1.000), before sequestration.
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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