CPT 2026 · Anesthesia

CPT 10012

Global ZZZ

Fna bx w/mr gdn ea addl

Effective 2026-04-01 Conv. factor $33.4009

No national RVU

Payment Methodology

Status Indicator

NCCI Partners

ZZZ

Global Period

No national RVU

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

CPT 10012 Billing & Documentation Guide

CPT code 10012 (Fna bx w/mr gdn ea addl) is classified under Anesthesia with a global period indicator of ZZZ. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.

When billing 10012, 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 10012 with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator

Carrier-priced (MAC determines payment locally)

Global Period

ZZZ

Add-on code (global concept does not apply)

MUE Limit (Medically Unlikely Edits)

Max units per beneficiary per date of service

Rationale: Clinical: Data

Adjudication: Date of Service (Clinical)

Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 3 units of 10012 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.

NCCI Bundling Edits, CPT 10012

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 10012 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
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
36591	Column 1 (primary), can be billed with modifier	No	CPT Manual or CMS manual coding instruction

Frequently Asked Questions, CPT 10012

What does CPT code 10012 mean? +

CPT code 10012 represents: Fna bx w/mr gdn ea addl. It's in the Anesthesia category with a global period of ZZZ.

What is the Medicare reimbursement for CPT 10012? +

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

What modifiers can I use with CPT 10012? +

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 10012? +

This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.