CPT 15240
Global 090 ActiveFth/gft f/c/c/m/n/ax/g/h/f20
CPT 15240 Billing & Documentation Guide
CPT code 15240 (Fth/gft f/c/c/m/n/ax/g/h/f20) is classified under Anesthesia with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 10.15, a non-facility practice expense RVU of 16.59, and a malpractice RVU of 1.33, a total non-facility RVU of 28.07 and facility RVU of 20.9. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $962.27, though rates vary from $837.89 to $1199.16 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 15240, 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 15240 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 15240 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 15240
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.15 | 10.15 |
| Practice Expense RVU | 16.59 | 9.42 |
| Malpractice RVU | 1.33 | 1.33 |
| Total RVU | 28.07 | 20.9 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 15240
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 | $1030.94 | $747.56 | $975.91 - $1199.16 | 29 |
| Florida | $981.47 | $741.18 | $935.53 - $1028.21 | 3 |
| Georgia | $921.32 | $692.85 | $886.25 - $956.38 | 2 |
| Illinois | $960.52 | $729.12 | $914.37 - $1000.24 | 4 |
| Michigan | $921.87 | $696.99 | $895.09 - $948.64 | 2 |
| North Carolina | $884.4 | $660.96 | $884.4 - $884.4 | 1 |
| New York | $1033.66 | $766.49 | $896.66 - $1102.06 | 5 |
| Ohio | $889.71 | $671.06 | $889.71 - $889.71 | 1 |
| Pennsylvania | $932.32 | $697.75 | $889.68 - $974.96 | 2 |
| Texas | $927.68 | $691.91 | $884.54 - $965.32 | 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 15240
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 15240 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01951 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01952 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 15240
What does CPT code 15240 mean? +
CPT code 15240 represents: Fth/gft f/c/c/m/n/ax/g/h/f20. It's in the Anesthesia category with a global period of 090.
What is the Medicare reimbursement for CPT 15240? +
The 2026 Medicare national average non-facility payment for CPT 15240 is $962.27. Rates range from $837.89 to $1199.16 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 15240? +
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 15240? +
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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