0496T
Carrier-pricedAdd-on codeMntr cdvr don lng ea addl hr
0496T is an add-on code — it is only payable alongside a primary procedure: 0495T.
Carrier-priced: Your Medicare contractor sets the price case by case (often after reviewing documentation).
2026 Medicare payment
Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number.
| Line | Qty | Non-facility (office) | Facility (hospital/ASC) |
|---|---|---|---|
| 0496T | 1 | $0.00 | $0.00 |
How these numbers were computed
- status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.
RVU breakdown (national)
Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF
| Row | Work RVU | PE RVU (office) | PE RVU (facility) | MP RVU | Total (office) |
|---|---|---|---|---|---|
| 0496T | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
Payment policy for 0496T
CMS's indicator fields, translated. These control which modifiers are payable and how.
Professional/technical (PC/TC)
pctc=9Not applicable
The professional/technical concept does not apply.
Multiple procedures
mult_surg=0No reduction
No multiple-procedure payment adjustment applies (typical for add-on codes).
Bilateral (modifier 50)
bilt_surg=9Not applicable
The bilateral concept does not apply.
Assistant surgeon (80/81/82)
asst_surg=9Not applicable
The assistant-at-surgery concept does not apply.
Co-surgeons (modifier 62)
co_surg=9Not applicable
The co-surgeon concept does not apply.
Team surgery (modifier 66)
team_surg=9Not applicable
The team-surgery concept does not apply.
Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.