Billing code 0605T: Remote retinal OCTMedicare rate & RVUs in Utah
Reports monthly technical assistance for a patient using a remote retinal OCT system, when the required minimum support time is met.
Medicare pays $712.92 for 0605T in the office in Utah (Utah). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 0605T covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $712.92 | Unavailable |
How the 0605T rate is calculated
Each of 0605T’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 · 0605T
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 22.64Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 0605T
The CMS indicators that decide how 0605T is paid alongside other services.
CMS payment indicators · 0605T
Remote retinal OCT
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
0605T compared with similar codes
Compare codes
0605T vs 0604T vs 0606T vs 92134: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 0604TRem oct rta dev setup&educaj
- Choose 0604T for device setup and patient education. Choose 0605T for qualifying technical assistance after setup, subject to its monthly time requirement.
- 0606TRem oct rta phys/qhp ea 30d
- 0605T is technical support. 0606T represents the physician or qualified health care professional’s remote monitoring, image analysis, and report.
- 92134Retinal OCT
- 92134 describes retinal OCT imaging performed in an imaging encounter. 0605T describes technical assistance with a remote retinal OCT monitoring system.
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 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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