CPT 2026 · Pathology/Lab

CPT 80417

Global XXX

Renin stimulation panel

Effective 2026-04-01 Conv. factor $33.4009
No national RVU
Payment Methodology
X
Status Indicator
10
NCCI Partners
XXX
Global Period
No national RVU

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

CPT 80417 Billing & Documentation Guide

CPT code 80417 (Renin stimulation panel) is classified under Pathology/Lab with a global period indicator of XXX. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.

When billing 80417, 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 80417 with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator
X

Statutory exclusion

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
1
Rationale: Nature of Service/Procedure
Adjudication: Date of Service (Clinical)
Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 1 units of 80417 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 80417

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 80417 on the same date of service, review the modifier indicator and payer policy before submission.

Partner Code Relationship Modifier Allowed Rationale
80416 Column 1 (primary), can be billed with modifier Yes Mutually exclusive procedures
80500 Column 1 (primary), can be billed with modifier Yes Standards of medical/surgical practice
80502 Column 1 (primary), can be billed with modifier Yes Standards of medical/surgical practice
80503 Column 1 (primary), can be billed with modifier Yes Standards of medical/surgical practice
80504 Column 1 (primary), can be billed with modifier Yes Standards of medical/surgical practice
80505 Column 1 (primary), can be billed with modifier Yes Standards of medical/surgical practice
80506 Column 1 (primary), can be billed with modifier Yes Standards of medical/surgical practice
84244 Column 1 (primary), can be billed with modifier Yes HCPCS/CPT procedure code definition
96523 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
99201 Column 1 (primary), can be billed with modifier 9 Standards of medical/surgical practice

Frequently Asked Questions, CPT 80417

What does CPT code 80417 mean? +

CPT code 80417 represents: Renin stimulation panel. It's in the Pathology/Lab category with a global period of XXX.

What is the Medicare reimbursement for CPT 80417? +

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

What modifiers can I use with CPT 80417? +

Pathology and laboratory use modifier 90 (reference/outside lab), 91 (repeat clinical diagnostic test same day), 92 (alternative laboratory platform), and QW (CLIA waived test). Surgical pathology splits between 26 and TC where applicable.

What bundling edits apply to CPT 80417? +

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

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on April 17, 2026.

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