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Describe a service in plain words, or type a CPT/HCPCS code.

CPT 92358

Bundled — payment folds into another service instead of its own line.

No national payment amount

Status B is not separately payable under the PFS.

Did Medicare pay separately for CPT 92358 in Q2 2020? Copy link

Not at a published national rate. CPT 92358 carries status B (bundled) in the Q2 2020 release. Medicare folds payment for this code into the service it is incident to, never onto its own line. Treat the blank amount as unpriced, not as $0.

Source: Physician relative value file (Q2 2020) · effective April 2020 · materially updated Aug 4, 2026 · compact facts

Why isn't there a national PFS amount?

  • Status B (Bundled): Medicare folds payment for this code into the service it is incident to, never onto its own line.
  • Status B is not separately payable under the PFS.

CMS evidence · 2 sources

Open evidence
Physician relative value file (Q2 2020) · rvu20b-updated-05012020.zip (PPRRVU20_APR.csv row 15,898)

See full source & method below

Common questions Copy link

Why is there no payment amount for 92358?

Its status indicator is B (bundled). Medicare folds payment for this code into the service it is incident to, never onto its own line. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

Why would a Medicare claim for 92358 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is B (bundled) — Medicare folds payment for this code into the service it is incident to, never onto its own line. See status indicators

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Payment rules

Applicable payment rules Copy link

Only the rules that can matter for 92358, each linking to its detail on this page.

Facility/non-facility Not modeled Professional/technical component Does not apply Bilateral adjustment Does not apply Multiple-procedure reduction Does not apply Assistant/co-surgeon treatment Does not apply Global surgery Does not apply NCCI same-day edits Not modeled MUE behavior Not modeled Other fee-schedule routing Does not apply Contractor pricing Does not apply

Global period: what 92358's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Modifiers that report work outside 92358's global period
Modifier Reports
-25 A significant, separately identifiable E/M on the same day as the procedure, beyond its usual pre- and post-operative care.

A modifier reports what happened; it does not by itself make a service payable. Documentation has to support it.

Can you bill it with another code? Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and 92358.

See every current NCCI pair for 92358 →

History

Rate history by release Copy link

National non-facility amount for 92358 across quarterly releases.

Release Status Non-facility Facility
Q3 2026 Jul 1, 2026 – present B — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 B — —
Q1 2026 Jan 1, 2026 – Mar 31, 2026 B — —

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Source & method

Show sources

This is computed from CMS's Medicare Physician Fee Schedule Q2 2020 release (schedule pfs, effective April 2020). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Our methodology covers the depth: sourcing, parsing, versioning, and how we cross-check claims before they ship.

Physician relative value file (Q2 2020) · rvu20b-updated-05012020.zip (PPRRVU20_APR.csv row 15,898)

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This link keeps pointing at the Q2 2020 figures, even after a newer release lands.

CPT 92358 Medicare Physician Fee Schedule rate (Q2 2020). Localis. https://localishealth.com/cpt/92358/2020/B