CPT 15201
Global ZZZ ActiveFth/gft fr trnk each addl
CPT 15201 Billing & Documentation Guide
CPT code 15201 (Fth/gft fr trnk each addl) is classified under Anesthesia with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.29, a non-facility practice expense RVU of 2.92, and a malpractice RVU of 0.23, a total non-facility RVU of 4.44 and facility RVU of 1.94. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $152.33, though rates vary from $130.82 to $192.58 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 15201, 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 15201 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 7 units of 15201 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 15201
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.29 | 1.29 |
| Practice Expense RVU | 2.92 | 0.42 |
| Malpractice RVU | 0.23 | 0.23 |
| Total RVU | 4.44 | 1.94 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 15201
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 | $164.2 | $65.4 | $154.83 - $192.58 | 29 |
| Florida | $155.9 | $72.12 | $147.87 - $164.04 | 3 |
| Georgia | $145.39 | $65.73 | $139.24 - $151.53 | 2 |
| Illinois | $152.16 | $71.48 | $144.14 - $159.04 | 4 |
| Michigan | $145.49 | $67.07 | $140.81 - $150.16 | 2 |
| North Carolina | $138.99 | $61.08 | $138.99 - $138.99 | 1 |
| New York | $164.38 | $71.22 | $141.14 - $176.07 | 5 |
| Ohio | $139.88 | $63.64 | $139.88 - $139.88 | 1 |
| Pennsylvania | $147.22 | $65.43 | $139.88 - $154.56 | 2 |
| Texas | $146.48 | $64.27 | $138.98 - $153.17 | 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 15201
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 15201 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11000 | Column 1 (primary), can be billed with modifier | 9 | CPT Manual or CMS manual coding instruction |
| 11001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11040 | Column 1 (primary), can be billed with modifier | 9 | CPT Manual or CMS manual coding instruction |
| 11041 | Column 1 (primary), can be billed with modifier | 9 | CPT Manual or CMS manual coding instruction |
| 11042 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11042 | Column 1 (primary), can be billed with modifier | 9 | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 15201
What does CPT code 15201 mean? +
CPT code 15201 represents: Fth/gft fr trnk each addl. It's in the Anesthesia category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 15201? +
The 2026 Medicare national average non-facility payment for CPT 15201 is $152.33. Rates range from $130.82 to $192.58 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 15201? +
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 15201? +
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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