CPT 98006
Global XXXSynch audio-video est mod 30
CPT 98006 Billing & Documentation Guide
CPT code 98006 (Synch audio-video est mod 30) is classified under Medicine/E&M with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.92, a non-facility practice expense RVU of 1.12, and a malpractice RVU of 0.12, a total non-facility RVU of 3.16 and facility RVU of 2.46. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $107.91, though rates vary from $98.33 to $138.24 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 98006, 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 98006 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 98006 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 98006
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.92 | 1.92 |
| Practice Expense RVU | 1.12 | 0.42 |
| Malpractice RVU | 0.12 | 0.12 |
| Total RVU | 3.16 | 2.46 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 98006
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 | $112.87 | $85.2 | $108.37 - $127.28 | 29 |
| Florida | $109.47 | $86.01 | $105.92 - $113.21 | 3 |
| Georgia | $104.71 | $82.41 | $102.28 - $107.14 | 2 |
| Illinois | $108.16 | $85.57 | $104.55 - $111.37 | 4 |
| Michigan | $104.9 | $82.94 | $102.81 - $106.99 | 2 |
| North Carolina | $101.59 | $79.78 | $101.59 - $101.59 | 1 |
| New York | $114.35 | $88.27 | $102.49 - $120.16 | 5 |
| Ohio | $102.32 | $80.98 | $102.32 - $102.32 | 1 |
| Pennsylvania | $105.64 | $82.74 | $102.26 - $109.01 | 2 |
| Texas | $105.04 | $82.02 | $101.9 - $107.39 | 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 98006
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 98006 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 98006
What does CPT code 98006 mean? +
CPT code 98006 represents: Synch audio-video est mod 30. It's in the Medicine/E&M category with a global period of XXX.
What is the Medicare reimbursement for CPT 98006? +
The 2026 Medicare national average non-facility payment for CPT 98006 is $107.91. Rates range from $98.33 to $138.24 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 98006? +
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 98006? +
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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