CPT 98002
Global XXXSynch audio-video new mod 45
CPT 98002 Billing & Documentation Guide
CPT code 98002 (Synch audio-video new mod 45) is classified under Medicine/E&M with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.6, a non-facility practice expense RVU of 1.42, and a malpractice RVU of 0.16, a total non-facility RVU of 4.18 and facility RVU of 3.33. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $142.69, though rates vary from $130.34 to $183.72 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 98002, 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 98002 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Invalid for Medicare; not separately payable
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 98002 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 98002
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.6 | 2.6 |
| Practice Expense RVU | 1.42 | 0.57 |
| Malpractice RVU | 0.16 | 0.16 |
| Total RVU | 4.18 | 3.33 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 98002
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 | $148.98 | $115.38 | $143.17 - $167.65 | 29 |
| Florida | $144.83 | $116.35 | $140.22 - $149.73 | 3 |
| Georgia | $138.62 | $111.53 | $135.52 - $141.71 | 2 |
| Illinois | $143.19 | $115.76 | $138.5 - $147.38 | 4 |
| Michigan | $138.9 | $112.24 | $136.18 - $141.62 | 2 |
| North Carolina | $134.51 | $108.02 | $134.51 - $134.51 | 1 |
| New York | $151.14 | $119.46 | $135.66 - $158.72 | 5 |
| Ohio | $135.53 | $109.61 | $135.53 - $135.53 | 1 |
| Pennsylvania | $139.79 | $111.99 | $135.43 - $144.15 | 2 |
| Texas | $138.98 | $111.03 | $134.97 - $141.99 | 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 98002
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 98002 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0362T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0373T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0469T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 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 |
| 93792 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 93793 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 94002 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 94003 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 94004 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 98002
What does CPT code 98002 mean? +
CPT code 98002 represents: Synch audio-video new mod 45. It's in the Medicine/E&M category with a global period of XXX.
What is the Medicare reimbursement for CPT 98002? +
The 2026 Medicare national average non-facility payment for CPT 98002 is $142.69. Rates range from $130.34 to $183.72 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 98002? +
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 98002? +
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 2, 2026.
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