CPT 97008
Global XXX ActiveMchnl sclp cool prep plmt
This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.
CPT 97008 Billing & Documentation Guide
CPT code 97008 (Mchnl sclp cool prep plmt) is classified under Physical Medicine with a global period indicator of XXX. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.
When billing 97008, 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 current NCCI edits before bundling with related codes.
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
2026 Medicare Reimbursement by State, CPT 97008
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 | $11.64 | $11.64 | $10.8 - $14.15 | 29 |
| Florida | $10.37 | $10.37 | $9.76 - $10.93 | 3 |
| Georgia | $9.64 | $9.64 | $9.04 - $10.24 | 2 |
| Illinois | $10 | $10 | $9.37 - $10.54 | 4 |
| Michigan | $9.57 | $9.57 | $9.22 - $9.91 | 2 |
| North Carolina | $9.25 | $9.25 | $9.25 - $9.25 | 1 |
| New York | $11.26 | $11.26 | $9.44 - $12.14 | 5 |
| Ohio | $9.18 | $9.18 | $9.18 - $9.18 | 1 |
| Pennsylvania | $9.85 | $9.85 | $9.21 - $10.48 | 2 |
| Texas | $9.84 | $9.84 | $9.12 - $10.54 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
Frequently Asked Questions, CPT 97008
What does CPT code 97008 mean? +
CPT code 97008 represents: Mchnl sclp cool prep plmt. It's in the Physical Medicine category with a global period of XXX.
What is the Medicare reimbursement for CPT 97008? +
The 2026 Medicare national average non-facility payment for CPT 97008 is $10.4. Rates range from $8.49 to $14.15 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 97008? +
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 97008? +
No NCCI PTP edits currently on file for this code.
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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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