CPT 2026 · Category III (Emerging Technology)

CPT 0723T

Global XXX

Qmrcp w/o dx mri sm anat ses

Effective 2026-04-01 Conv. factor $33.4009

Category III (emerging technology)

Payment Methodology

Status Indicator

NCCI Partners

XXX

Global Period

Category III (emerging technology)

This is a Category III emerging-technology or data-collection code. Category III codes typically have no national RVU. Payment is carrier-priced or often non-covered; verify coverage with the specific payer before billing.

CPT 0723T Billing & Documentation Guide

CPT code 0723T (Qmrcp w/o dx mri sm anat ses) is classified under Category III (Emerging Technology) with a global period indicator of XXX. This code uses the Category III (emerging technology) payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.

When billing 0723T, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 0723T with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator

Carrier-priced (MAC determines payment locally)

Global Period

XXX

No global period (E/M and other non-procedural services)

MUE Limit (Medically Unlikely Edits)

Max units per beneficiary per date of service

Rationale: Code Descriptor / CPT Instruction

Adjudication: Date of Service (Policy)

Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 1 units of 0723T for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.

NCCI Bundling Edits, CPT 0723T

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 0723T on the same date of service, review the modifier indicator and payer policy before submission.

Partner Code	Relationship	Modifier Allowed	Rationale
0213T	Column 1 (primary), can be billed with modifier	No	Misuse of Column Two code with Column One code
0216T	Column 1 (primary), can be billed with modifier	No	Misuse of Column Two code with Column One code
0724T	Column 1 (primary), can be billed with modifier	No	CPT Manual or CMS manual coding instruction
0903T	Column 1 (primary), can be billed with modifier	Yes	Misuse of Column Two code with Column One code
0904T	Column 1 (primary), can be billed with modifier	Yes	Misuse of Column Two code with Column One code
0905T	Column 1 (primary), can be billed with modifier	Yes	Misuse of Column Two code with Column One code
12001	Column 1 (primary), can be billed with modifier	Yes	Misuse of Column Two code with Column One code
12002	Column 1 (primary), can be billed with modifier	Yes	Misuse of Column Two code with Column One code
12004	Column 1 (primary), can be billed with modifier	Yes	Misuse of Column Two code with Column One code
12005	Column 1 (primary), can be billed with modifier	Yes	Misuse of Column Two code with Column One code

Frequently Asked Questions, CPT 0723T

What does CPT code 0723T mean? +

CPT code 0723T represents: Qmrcp w/o dx mri sm anat ses. It's in the Category III (Emerging Technology) category with a global period of XXX.

What is the Medicare reimbursement for CPT 0723T? +

What modifiers can I use with CPT 0723T? +

Category III tracking codes generally have no national RVU and carrier-determined payment. Coverage and allowed modifiers are payer-specific; verify before billing.

What bundling edits apply to CPT 0723T? +

This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.