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CPT 99606

Priced under CLFS

99606 · PFS Q4 2014 · Historical

Status X is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

Not at a published national rate. CPT 99606 carries status X (statutory exclusion) in the Q4 2014 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0.

PFS status evidence

Physician relative value file (Q4 2014) · rvu14d.zip (PPRRVU14_V0815_v5.csv row 15,916)
Inspect PFS status evidence
Code
99606
Release
Q4 2014, revision 1
Result
Priced under CLFS

Citations

  • Establishes the PFS status (X) and the resulting pathway for this code: priced under clfs.

    Physician relative value file (PPRRVU)

    Q4 2014 · revision 1

    Latest revision of this release

    Release period: October 1 – December 31, 2014

    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 PPRRVU14_V0815_v5.csv in rvu14d.zip (row 15,916)
    hcpcs (col 1)
    99606
    modifier (col 2)
    blank
    status_code (col 4)
    X

    SHA-256: 9ff6da39ad421c38c816089ae3bed4bd754a642336efa8e8901e9cc38cca8705

    Original source file

Compact facts

Why is there no national PFS amount for 99606?

Its status indicator is X (statutory exclusion). The statutory definition of physician services does not include this item. Status X is not separately payable under the PFS.

Payment considerations Copy link

Review the applicable inputs and payment rules. Each link opens the supporting detail on this page.

Other fee-schedule routing Applies
Other payment indicators (9)

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, Contractor pricing: Does not apply.

Payment rules

Global period: what 99606'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

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and 99606.

See every current NCCI pair for 99606 →

Common payment questions Copy link

Why would a Medicare claim for 99606 be denied or paid less?

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

  • Its status indicator is X (statutory exclusion)—The statutory definition of physician services does not include this item. 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.

History

Rate history by release Copy link

National non-facility amount for 99606 across quarterly releases.

Release Status Non-facility Facility
Q4 2026 takes effect Oct 1, 2026 X — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 X — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 X — —
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 Q4 2014 release (effective October 2014). National baselines use GPCI 1.000 and exclude sequestration. Status and payment instructions determine whether a national amount is established; blank RVUs stay blank. Releases are immutable: historical evidence remains tied to the specified release. Our methodology covers the depth: sourcing, parsing, versioning, and how we cross-check claims before they ship.

Physician relative value file (Q4 2014) · rvu14d.zip (PPRRVU14_V0815_v5.csv row 15,916)

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

Cite this rate

This citation identifies the source release, so its evidence remains reproducible after a newer release lands.

CPT 99606 National PFS baseline: No national PFS rate (Q4 2014; participating; whole service; GPCI 1.000; sequestration excluded). Localis. https://localishealth.com/cpt/99606/2014/D