CPT 98003
Global XXXSynch audio-video new hi 60
CPT 98003 Billing & Documentation Guide
CPT code 98003 (Synch audio-video new hi 60) is classified under Medicine/E&M with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.5, a non-facility practice expense RVU of 1.84, and a malpractice RVU of 0.21, a total non-facility RVU of 5.55 and facility RVU of 4.48. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $189.44, though rates vary from $173.31 to $244.67 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 98003, 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 98003 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 98003 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 98003
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.5 | 3.5 |
| Practice Expense RVU | 1.84 | 0.77 |
| Malpractice RVU | 0.21 | 0.21 |
| Total RVU | 5.55 | 4.48 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 98003
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 | $197.62 | $155.33 | $190.01 - $222.14 | 29 |
| Florida | $192.22 | $156.36 | $186.2 - $198.62 | 3 |
| Georgia | $184.1 | $150.01 | $180.08 - $188.12 | 2 |
| Illinois | $190.1 | $155.57 | $183.98 - $195.58 | 4 |
| Michigan | $184.49 | $150.93 | $180.93 - $188.04 | 2 |
| North Carolina | $178.73 | $145.38 | $178.73 - $178.73 | 1 |
| New York | $200.54 | $160.67 | $180.22 - $210.48 | 5 |
| Ohio | $180.08 | $147.45 | $180.08 - $180.08 | 1 |
| Pennsylvania | $185.65 | $150.64 | $179.95 - $191.35 | 2 |
| Texas | $184.57 | $149.38 | $179.35 - $188.52 | 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 98003
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 98003 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 98003
What does CPT code 98003 mean? +
CPT code 98003 represents: Synch audio-video new hi 60. It's in the Medicine/E&M category with a global period of XXX.
What is the Medicare reimbursement for CPT 98003? +
The 2026 Medicare national average non-facility payment for CPT 98003 is $189.44. Rates range from $173.31 to $244.67 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 98003? +
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 98003? +
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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