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See a sample rate comparisonCPT 0054T Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Computer Assisted Musculoskele, Computer Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure With Image-Guidance Based On Fluoroscopic Images (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Various Services - Category III Codes |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0054T |
| Medicaid Fee Schedule | View Medicaid rates for 0054T |
National average reimbursement for CPT 0054T by major payers:
$250.31
$308.53
$1,127.22
$197.65
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CPT 0054T
5 of 25 sample ratesHigher to lower in this preview
Tenet Hospitals Limited, The Hospitals Of Providence Sierra Campus
$3,031.00Published rateTexas Institute For Surgery, LLP, Texas Institute For Surgery At Texas Health Presbyterian Dallas
Texas Institute For Surgery, LLP
$1,400.00Published rateTexas Health Presbyterian Hospital Plano
$1,085.00Published rateBig Spring Vamc
$414.67Published rateRegional Eye Surgery Center,LLC
Regional Eye Surgery Center, LLC
$64.00Published rate
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See a sample payer proposalCPT 0054T vs. Other Various Services - Category III Codes Codes
The CPT 0054T code is part of the Category III Codes services used for Various Services - Category III Codes. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 0054T code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 0054T-CPT | Moderate | Computer Assisted Musculoskele, Computer Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure With Image-Guidance Based On Fluoroscopic Images (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0054T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0054T fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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