CPT code 0054T: Surgical navigation, fluoroscopic imaging2026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 0054T covers

0054T identifies computer-assisted navigation used during bone surgery when fluoroscopic images support guidance. It describes the navigation service, not the underlying bone operation. Its defining distinction from 0055T is the image source: 0054T uses fluoroscopy, while 0055T is associated with CT or MRI images. The imaging modality is central to choosing between these two navigation codes.

This is a CPT Category III code for emerging technology. Medicare assigns carrier-priced status (status C): CMS publishes no national payment, and the Medicare Administrative Contractor determines payment for each claim. Category III codes are temporary, and Medicare contractors price them individually. The reporting focus is computer-assisted navigation with fluoroscopic imaging during bone surgery, rather than navigation using the CT or MRI imaging associated with 0055T.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 0054T pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

0054T rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 0054T rate is calculated

Each of 0054T’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 0054T

0054T has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

0054T compared with similar codes

How to choose

0055TImage-guided navigationCT/MRI-based guidance

Choose 0054T when fluoroscopic images are used for navigation. 0055T is associated with CT or MRI imaging.

61783Spinal navigationComputer-assisted guidance

61783 identifies stereotactic computer-assisted navigation for spinal procedures. 0054T identifies bone surgery navigation using fluoroscopic images.

20985Surgical navigationImage-less

20985 is for computer-assisted musculoskeletal navigation without image guidance. 0054T uses fluoroscopic images.

Codes related to 0054T

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates