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Current CMS pricing and breakdown for Nfct ds pji alys 11 bmrks ia.
A national base rate is not currently published.
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Infectious disease (periprosthetic joint infection), analysis of 11 biomarkers (alpha defensins 1-3, creactive protein, microbial antigens for staphylococcus [spa, spb], enterococcus, candida, and c. acnes, total nucleated cell count, percent neutrophils, rbc count, and absorbance at 280 nm) using immunoassays, hematology, clinical chemistry, synovial fluid, and diagnostic algorithm reported as a probability score
CPT code 0601U (Infectious disease (periprosthetic joint infection), analysis of 11 biomarkers (alpha defensins 1-3, creactive protein, microbial antigens for staphylococcus [spa, spb], enterococcus, candida, and c. acnes, total nucleated cell count, percent neutrophils, rbc count, and absorbance at 280 nm) using immunoassays, hematology, clinical chemistry, synovial fluid, and diagnostic algorithm reported as a probability score) does not currently have a published national facility or non-facility reimbursement rate in 2026.
0601U is a CPT code in the category “Clinical Laboratory Test.” Medicare does not publish a single national payment amount for this code in 2026 (No National Rate). A national base rate is not currently published.
To estimate a local payment amount when available, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage and confirm final pricing guidance through CMS or your local Medicare Administrative Contractor (MAC).
| Component | Office (Non-Fac) | Facility (Hosp) |
|---|---|---|
| Work RVU | ||
| Practice Expense (PE) | ||
| Malpractice (MP) | ||
| Total RVUs | 0.00 | 0.00 |
Compare a payment against the Medicare benchmark for this code.
Medicare rates are used as a benchmark only. Actual payer contracts, modifiers, place of service, units, and billing rules may affect reimbursement. This tool is for educational and operational review purposes, not legal or billing advice.
Facility vs. non-facility pricing most commonly applies to physician services paid under the RVU-based Physician Fee Schedule. For 0601U (Clinical Laboratory Test), the payment methodology may not include both facility and non-facility rates.
Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.
Medicare does not publish a single national reimbursement rate for 0601U in 2026 (No National Rate). Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool to explore locality-adjusted estimates when applicable.
Infectious disease (periprosthetic joint infection), analysis of 11 biomarkers (alpha defensins 1-3, creactive protein, microbial antigens for staphylococcus [spa, spb], enterococcus, candida, and c. acnes, total nucleated cell count, percent neutrophils, rbc count, and absorbance at 280 nm) using immunoassays, hematology, clinical chemistry, synovial fluid, and diagnostic algorithm reported as a probability score
Facility vs. non-facility differences usually apply to RVU-based physician services. 0601U may not use both facility and non-facility pricing depending on its payment methodology.
Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.
Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.