Reimbursement for
SnapshotNIR

2026 CODES & PAYMENT

0640T: Non-contact near-infrared spectroscopy (e.g., for the measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), other than for screening for peripheral arterial disease, image acquisition, interpretation, and report; first anatomic site)1

0859T: Non-contact near-infrared spectroscopy (e.g., for the measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), other than for screening for  peripheral arterial disease, image acquisition, interpretation, and report; each additional anatomic site (List separately in addition to the code for primary procedure)1

0860T: Non-contact near-infrared spectroscopy (e.g., for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), for screening for peripheral arterial disease, including provocative maneuvers, image acquisition, interpretation, and report, one or both lower extremities (Do not report 0860T in conjunction with 0640T)

SnapshotNIR Provider Office Reimbursement by Medicare Administrative Contractor (MAC)

-TC and -26 Modifier Scenarios

National Hospital Outpatient Rate

  • 0640T national rate: $38.16 (subject to wage index)

  • APC assignment 5732 (Minor Procedures)

  • 0859T is not paid separately in the hospital outpatient. Medicare does not typically reimburse separately for add-on codes.

Additional

  • Medically Unlikely Edits (provider and hospital outpatient)

  • 0640T-1

  • 0859T-1

CPT® Category I, Category II and Category III codes and information is copyright of the American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.

REIMBURSEMENT FAQ’s

DOCUMENTATION GUIDELINES

QUESTIONS?

Email: reimbursement@kentimaging.com
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Jennie Feight, MS, CPC, CPMA, CPC-I
Vice President of Health Policy

Disclaimer: This content is for educational purposes only and has not been verified with any entity responsible for coding policy. It does not represent a statement, promise or guarantee of any outcomes. Reimbursement and coverage policies are subject to frequent change. Questions regarding coverage and payment by a payor should be directed to that payor. The ultimate responsibility for documentation, coding, and claims submission lies with the physician, clinician, hospital, or other facility or provider.

AMA/CPT Copyright Notices: AMA/CPT – ADA/CDT – AHA/NUBC UB-04 CPT codes, descriptions, and other data only are copyright 2025 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.