CPT 96001
Global XXX ActiveMotion test w/ft press meas
CPT 96001 Billing & Documentation Guide
CPT code 96001 (Motion test w/ft press meas) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.1, a non-facility practice expense RVU of 0.41, and a malpractice RVU of 0.09, a total non-facility RVU of 2.6 and facility RVU of 2.6. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $88.44, though rates vary from $83.45 to $121.45 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 96001, 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 96001 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 96001 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 96001
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.1 | 2.1 |
| Practice Expense RVU | 0.41 | 0.41 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 2.6 | 2.6 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 96001
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 | $90.49 | $90.49 | $87.95 - $99.22 | 29 |
| Florida | $89.73 | $89.73 | $87.75 - $92 | 3 |
| Georgia | $86.91 | $86.91 | $85.94 - $87.88 | 2 |
| Illinois | $89.36 | $89.36 | $87.34 - $91.29 | 4 |
| Michigan | $87.24 | $87.24 | $86.04 - $88.43 | 2 |
| North Carolina | $84.84 | $84.84 | $84.84 - $84.84 | 1 |
| New York | $92.83 | $92.83 | $85.26 - $96.5 | 5 |
| Ohio | $85.67 | $85.67 | $85.67 - $85.67 | 1 |
| Pennsylvania | $87.4 | $87.4 | $85.55 - $89.25 | 2 |
| Texas | $86.8 | $86.8 | $85.4 - $88.44 | 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 96001
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 96001 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0693T | Column 1 (primary), can be billed with modifier | No | HCPCS/CPT procedure code definition |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 95860 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 95861 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 95863 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 95864 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 95867 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 95868 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 95869 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 96001
What does CPT code 96001 mean? +
CPT code 96001 represents: Motion test w/ft press meas. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 96001? +
The 2026 Medicare national average non-facility payment for CPT 96001 is $88.44. Rates range from $83.45 to $121.45 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 96001? +
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 96001? +
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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