CPT 10010
Global ZZZ ActiveFna bx w/ct gdn ea addl
CPT 10010 Billing & Documentation Guide
CPT code 10010 (Fna bx w/ct 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 1.61, a non-facility practice expense RVU of 5.22, and a malpractice RVU of 0.21, a total non-facility RVU of 7.04 and facility RVU of 1.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $242.84, though rates vary from $207.16 to $314.87 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 10010, 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 10010 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 10010 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 10010
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.61 | 1.61 |
| Practice Expense RVU | 5.22 | 0.15 |
| Malpractice RVU | 0.21 | 0.21 |
| Total RVU | 7.04 | 1.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 10010
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 | $265.81 | $65.43 | $249.54 - $314.87 | 29 |
| Florida | $242.37 | $72.46 | $231 - $253.02 | 3 |
| Georgia | $228.58 | $67.03 | $217.66 - $239.5 | 2 |
| Illinois | $235.84 | $72.21 | $223.92 - $245.64 | 4 |
| Michigan | $227.37 | $68.35 | $220.88 - $233.85 | 2 |
| North Carolina | $220.93 | $62.93 | $220.93 - $220.93 | 1 |
| New York | $260.37 | $71.45 | $224.34 - $277.55 | 5 |
| Ohio | $220.03 | $65.42 | $220.03 - $220.03 | 1 |
| Pennsylvania | $232.54 | $66.66 | $220.46 - $244.61 | 2 |
| Texas | $232.24 | $65.52 | $218.95 - $244.56 | 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 10010
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 10010 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 |
| 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 |
| 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 |
Frequently Asked Questions, CPT 10010
What does CPT code 10010 mean? +
CPT code 10010 represents: Fna bx w/ct gdn ea addl. It's in the Anesthesia category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 10010? +
The 2026 Medicare national average non-facility payment for CPT 10010 is $242.84. Rates range from $207.16 to $314.87 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 10010? +
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 10010? +
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 June 1, 2026.
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