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CMS RVU26D · Effective 2026-10-01

0605T Remote retinal OCT Medicare reimbursement rates in Tennessee

Reports monthly technical assistance for a patient using a remote retinal OCT system, when the required minimum support time is met. Compare 0605T office and facility rates across CMS payment localities in Tennessee.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 0605T in Tennessee?

Tennessee has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

$688.64

1 of 1 localities have a supported rate.

Payment area: Tennessee

One mapped payment locality.

Facility setting

No supported rate

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 0605T in your payment locality →

Ophthalmology

About 0605T: Remote retinal OCT technical support

Reports monthly technical assistance for a patient using a remote retinal OCT system, when the required minimum support time is met.

0605T represents technical help for a patient using a remote retinal optical coherence tomography system to monitor retinal disease. Clinical staff or a technician may assist with operating the device, resolving image-capture problems, or addressing transmission difficulties. This is support for an established remote monitoring system, not the initial device setup and patient instruction. The service is relevant to patients whose clinician uses remotely collected retinal images to follow eye disease over time.

Report the code for a calendar month when at least eight minutes of qualifying technical support are provided. Documentation should identify the support delivered and the time spent. The code covers the technical service; clinician interpretation and analysis are reported separately, with 0606T covering the physician or qualified health care professional’s monitoring, analysis, and report. CMS applies the cardiovascular diagnostic multiple procedure reduction to this code’s technical component when applicable.

CMS billing rules for 0605T

Professional and technical components
Technical-component-only code: a separate code covers interpretation.
Multiple procedures
Cardiovascular diagnostic multiple procedure reduction applies to the technical component.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU22.64 · 100%
  • Malpractice RVU0.07 · 0%

19

Medicare services in 2024 · #5934 by national volume

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.

0605T compared with similar codes

Office rates for Tennessee, from the same CMS release.

0604T

Rem oct rta dev setup&educaj

No office rate

Choose 0604T for device setup and patient education. Choose 0605T for qualifying technical assistance after setup, subject to its monthly time requirement.

0606T

Rem oct rta phys/qhp ea 30d

No office rate

0605T is technical support. 0606T represents the physician or qualified health care professional’s remote monitoring, image analysis, and report.

92134

Retinal OCT

Posterior segment, retina

$30.45

92134 describes retinal OCT imaging performed in an imaging encounter. 0605T describes technical assistance with a remote retinal OCT monitoring system.

Compare 0605T by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 0605T in Tennessee.

PPRRVU2026_Oct_nonQPP.csv

558

Code
0605T
Physician work
0.00
Practice expense
22.64
Malpractice
0.07

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office / nonfacility calculation for 0605T in Tennessee
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense22.64× 0.90920.5798
Malpractice0.07× 0.5370.0376
Total RVUs20.6174
Conversion factor× 33.4009

Office / nonfacility rate, Tennessee$688.64

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01
Practice expense22.640.909
Malpractice0.070.537

(0 × 1 + 22.64 × 0.909 + 0.07 × 0.537) × $33.4009 = $688.64

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

0605T billing questions

How is 0605T different from 0604T?

0604T is for setting up the remote retinal OCT device and educating the patient. 0605T reports subsequent technical support during a calendar month.

What is the minimum time for 0605T?

At least eight minutes of technical support must be provided in the calendar month. Document the time and the assistance delivered.

Does 0605T include review of the retinal images?

No. It represents technical support, not physician or qualified health care professional image analysis. The separate monitoring, analysis, and report service is represented by 0606T.

Can 0605T be reported with 0606T?

They describe different work: technical support and clinician monitoring with analysis and a report. Report each only when its respective service is performed and documented.

How does the multiple procedure reduction affect 0605T?

CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component when applicable.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 0605TPPRRVU2026_Oct_nonQPP.csv, line 558 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)