CPT code 0054T: Surgical navigation, fluoroscopic imaging2026 Medicare rate & RVUs in Maine
Reports computer-assisted navigation during bone surgery when fluoroscopic images are used to guide the surgical work rather than CT or MRI images.
CMS doesn’t publish an office rate for 0054T in Maine.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | Unavailable | Unavailable |
| Southern Maine, ME | Unavailable | Unavailable |
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.
How the rate is built · 0054T
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · 0054T
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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0054T isn’t priced in this setting.
0054T compared with similar codes
Compare codes · National
4 codes, side by side
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.
0054T billing questions
How does 0054T differ from 0055T?
0054T is for computer-assisted bone surgery navigation using fluoroscopic images. 0055T is associated with navigation using CT or MRI images.
Does 0054T represent the bone operation itself?
No. It identifies the computer-assisted navigation service, not the underlying bone operation.
What should the operative documentation identify?
Document the use of computer-assisted navigation and fluoroscopic imaging during bone surgery.
How does Medicare treat 0054T?
It has carrier-priced status (status C). The Medicare Administrative Contractor determines payment for each claim.
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
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