CPT 10007
Global XXX ActiveFna bx w/fluor gdn 1st les
CPT 10007 Billing & Documentation Guide
CPT code 10007 (Fna bx w/fluor gdn 1st les) is classified under Anesthesia with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.76, a non-facility practice expense RVU of 8.28, and a malpractice RVU of 0.27, a total non-facility RVU of 10.31 and facility RVU of 2.4. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $356.33, though rates vary from $300.99 to $468.88 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 10007, 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 10007 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 10007 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 10007
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.76 | 1.76 |
| Practice Expense RVU | 8.28 | 0.37 |
| Malpractice RVU | 0.27 | 0.27 |
| Total RVU | 10.31 | 2.4 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 10007
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 | $393.03 | $80.41 | $367.73 - $468.88 | 29 |
| Florida | $353.82 | $88.74 | $336.73 - $369.49 | 3 |
| Georgia | $333.51 | $81.46 | $316.23 - $350.78 | 2 |
| Illinois | $343.45 | $88.16 | $325.38 - $359.2 | 4 |
| Michigan | $331.17 | $83.09 | $321.47 - $340.87 | 2 |
| North Carolina | $322.58 | $76.08 | $322.58 - $322.58 | 1 |
| New York | $382.36 | $87.62 | $327.86 - $408.12 | 5 |
| Ohio | $320.37 | $79.16 | $320.37 - $320.37 | 1 |
| Pennsylvania | $339.85 | $81.06 | $321.19 - $358.5 | 2 |
| Texas | $339.76 | $79.65 | $318.83 - $359.49 | 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 10007
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 10007 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 |
| 10005 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 10006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 10010 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 10011 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 10012 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 10021 | 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 |
Frequently Asked Questions, CPT 10007
What does CPT code 10007 mean? +
CPT code 10007 represents: Fna bx w/fluor gdn 1st les. It's in the Anesthesia category with a global period of XXX.
What is the Medicare reimbursement for CPT 10007? +
The 2026 Medicare national average non-facility payment for CPT 10007 is $356.33. Rates range from $300.99 to $468.88 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 10007? +
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 10007? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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