CPT 10006
Global ZZZ ActiveFna bx w/us gdn ea addl
CPT 10006 Billing & Documentation Guide
CPT code 10006 (Fna bx w/us gdn ea addl) is classified under Anesthesia with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.98, a non-facility practice expense RVU of 0.71, and a malpractice RVU of 0.11, a total non-facility RVU of 1.8 and facility RVU of 1.29. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $61.3, though rates vary from $55 to $76.38 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 10006, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 10006 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 10006 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 10006
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.98 | 0.98 |
| Practice Expense RVU | 0.71 | 0.2 |
| Malpractice RVU | 0.11 | 0.11 |
| Total RVU | 1.8 | 1.29 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 10006
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $63.96 | $43.8 | $61.25 - $72.5 | 29 |
| Florida | $63.68 | $46.59 | $60.93 - $66.71 | 3 |
| Georgia | $59.81 | $43.55 | $58.27 - $61.34 | 2 |
| Illinois | $62.79 | $46.32 | $60.13 - $65.23 | 4 |
| Michigan | $60.17 | $44.18 | $58.53 - $61.81 | 2 |
| North Carolina | $57.21 | $41.31 | $57.21 - $57.21 | 1 |
| New York | $65.74 | $46.73 | $57.84 - $69.85 | 5 |
| Ohio | $58.09 | $42.54 | $58.09 - $58.09 | 1 |
| Pennsylvania | $60.18 | $43.5 | $57.97 - $62.39 | 2 |
| Texas | $59.67 | $42.9 | $57.73 - $61.6 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 10006
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 10006 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 10004 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 10035 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 19281 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 19283 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 19285 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 19287 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
Frequently Asked Questions, CPT 10006
What does CPT code 10006 mean? +
CPT code 10006 represents: Fna bx w/us gdn ea addl. It's in the Anesthesia category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 10006? +
The 2026 Medicare national average non-facility payment for CPT 10006 is $61.3. Rates range from $55 to $76.38 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 10006? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 10006? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team