Bundled / not separately paid
96041 · PFS Q1 2025 · Historical
Status B is not separately payable under the PFS.
CMS RVU25AJanuary 1 – March 31, 2025
PFS status evidence
Inspect PFS status evidence
- Code
- 96041
- Release
- Q1 2025, revision 1
- Result
- Bundled / not separately paid
Citations
-
Shows this code’s PFS status (B). Result: Bundled / not separately paid.
Physician relative value file (PPRRVU)CMS RVU25AJanuary 1 – March 31, 2025
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU25_JAN.csv row 18,449 in rvu25a-updated-01-10-2025.zip
In the CMS file
Loading rows 18,447–18,451 of PPRRVU25_JAN.csv…
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c0539b47cbc042fd1b69798e6dd911219f4893bb5be793ae1d1771e7a7151a54
CPT 96041 has no published national rate. It carries status B (bundled) in the Q1 2025 release. Medicare folds payment for this code into the service it is incident to, never onto its own line. The blank amount means unpriced, not $0.
Why is there no national PFS amount for 96041?
Its status indicator is 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.
Which billing rules and modifiers apply? Copy link
Payment rules for 96041 Copy link
Other payment indicators (10)
Why would a Medicare claim for 96041 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.
Global period: what 96041's fee already covers Copy link
The global surgery concept does not apply to this code.
Can you bill it with another code? Copy link
Check a pair of codes 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 for the pair.
How has it changed? Copy link
Rate history by release Copy link
National Office (non-facility) amount for 96041 across quarterly releases.
| Release | Status | Office | Facility |
|---|---|---|---|
| Q4 2026 Oct 1, 2026 – present | B | — | — |
| Q3 2026 Jul 1, 2026 – Sep 30, 2026 | B | — | — |
| Q2 2026 Apr 1, 2026 – Jun 30, 2026 | B | — | — |
| Q1 2026 Jan 1, 2026 – Mar 31, 2026 | B | — | — |
| Q4 2025 Oct 1, 2025 – Dec 31, 2025 | B | — | — |
| Q3 2025 Jul 1, 2025 – Sep 30, 2025 | B | — | — |
| Q2 2025 Apr 1, 2025 – Jun 30, 2025 | B | — | — |
| Q1 2025 Jan 1, 2025 – Mar 31, 2025 | B | — | — |
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.
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Source & method
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This page uses CMS's Medicare Physician Fee Schedule Q1 2025 release (effective January 2025). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.
Cite this rate
The citation names the release, so anyone can check it even after CMS publishes a newer one.
CPT 96041 National PFS baseline: No national PFS rate (Q1 2025; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU25A, PPRRVU25_JAN.csv row 18,449. Localis. https://localishealth.com/cpt/96041/2025/A