CPT 15260
Global 090 ActiveFth/gft fr n/e/e/l 20 sqcm/<
CPT 15260 Billing & Documentation Guide
CPT code 15260 (Fth/gft fr n/e/e/l 20 sqcm/<) is classified under Anesthesia with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 11.35, a non-facility practice expense RVU of 17.31, and a malpractice RVU of 1.31, a total non-facility RVU of 29.97 and facility RVU of 21.78. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1027.7, though rates vary from $898.28 to $1277.97 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 15260, 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 15260 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 15260 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 15260
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 11.35 | 11.35 |
| Practice Expense RVU | 17.31 | 9.12 |
| Malpractice RVU | 1.31 | 1.31 |
| Total RVU | 29.97 | 21.78 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 15260
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 | $1100.55 | $776.86 | $1042.67 - $1277.97 | 29 |
| Florida | $1044.37 | $769.91 | $997.59 - $1091.63 | 3 |
| Georgia | $983.6 | $722.63 | $946.98 - $1020.21 | 2 |
| Illinois | $1022.7 | $758.38 | $975.36 - $1063.23 | 4 |
| Michigan | $983.59 | $726.72 | $956.37 - $1010.81 | 2 |
| North Carolina | $946.49 | $691.27 | $946.49 - $946.49 | 1 |
| New York | $1101.56 | $796.39 | $959.12 - $1172.06 | 5 |
| Ohio | $951.07 | $701.32 | $951.07 - $951.07 | 1 |
| Pennsylvania | $995.61 | $727.66 | $951.21 - $1040 | 2 |
| Texas | $991.04 | $721.72 | $945.88 - $1030.33 | 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 15260
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 15260 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 15260
What does CPT code 15260 mean? +
CPT code 15260 represents: Fth/gft fr n/e/e/l 20 sqcm/<. It's in the Anesthesia category with a global period of 090.
What is the Medicare reimbursement for CPT 15260? +
The 2026 Medicare national average non-facility payment for CPT 15260 is $1027.7. Rates range from $898.28 to $1277.97 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 15260? +
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 15260? +
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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