CPT 90912
Global 000 ActiveBfb training 1st 15 min
CPT 90912 Billing & Documentation Guide
CPT code 90912 (Bfb training 1st 15 min) is classified under Medicine/E&M with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.9, a non-facility practice expense RVU of 1.51, and a malpractice RVU of 0.05, a total non-facility RVU of 2.46 and facility RVU of 1.12. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $84.74, though rates vary from $74.24 to $106.99 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90912, 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 90912 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 90912 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 90912
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.9 | 0.9 |
| Practice Expense RVU | 1.51 | 0.17 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 2.46 | 1.12 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90912
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 | $91.72 | $38.76 | $86.74 - $106.99 | 29 |
| Florida | $83.92 | $39.01 | $80.79 - $86.79 | 3 |
| Georgia | $80.22 | $37.53 | $77.04 - $83.4 | 2 |
| Illinois | $82.09 | $38.85 | $78.72 - $85.03 | 4 |
| Michigan | $79.77 | $37.75 | $77.99 - $81.55 | 2 |
| North Carolina | $78.18 | $36.43 | $78.18 - $78.18 | 1 |
| New York | $90.02 | $40.09 | $79.15 - $95.05 | 5 |
| Ohio | $77.79 | $36.93 | $77.79 - $77.79 | 1 |
| Pennsylvania | $81.52 | $37.68 | $77.94 - $85.1 | 2 |
| Texas | $81.43 | $37.37 | $77.51 - $84.96 | 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 90912
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90912 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0596T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | 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 |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 90912
What does CPT code 90912 mean? +
CPT code 90912 represents: Bfb training 1st 15 min. It's in the Medicine/E&M category with a global period of 000.
What is the Medicare reimbursement for CPT 90912? +
The 2026 Medicare national average non-facility payment for CPT 90912 is $84.74. Rates range from $74.24 to $106.99 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90912? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 90912? +
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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