CPT 0936T
Global YYYPhotobiomodulation ther rta
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 0936T Billing & Documentation Guide
CPT code 0936T (Photobiomodulation ther rta) is classified under Category III (Emerging Technology) with a global period indicator of YYY. 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 0936T, 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 current NCCI edits before bundling with related codes.
Payment Status & Global Period
Carrier-priced (MAC determines payment locally)
Carrier-determined global period
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 0936T for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
Frequently Asked Questions, CPT 0936T
What does CPT code 0936T mean? +
CPT code 0936T represents: Photobiomodulation ther rta. It's in the Category III (Emerging Technology) category with a global period of YYY.
What is the Medicare reimbursement for CPT 0936T? +
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.
What modifiers can I use with CPT 0936T? +
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 0936T? +
No NCCI PTP edits currently on file for this code.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on April 17, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team