All ASC CPT codes
ASC Surgical · CPT/HCPCS

CPT 0996T

Ins&sclr fix caps bag prosth

CPT 0996T at a glance

Code
0996T
Code type
CPT/HCPCS
Short descriptor
Ins&sclr fix caps bag prosth
Category
ASC Surgical
ASC payment status
Payable in an ASC (surgical)
CMS addendum
AA (Surgical)
Typical setting
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

What is CPT code 0996T?

CPT 0996T is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Ins&sclr fix caps bag prosth". In the ASC context it is grouped under ASC Surgical.

Is CPT 0996T payable in an ambulatory surgery center (ASC)?

CPT 0996T appears on Medicare's ASC Covered Procedures List (CMS Addendum AA), so Medicare reimburses it when the surgery is performed in a certified ambulatory surgery center.

Where is CPT 0996T typically performed?

Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.

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