96170
Non-coveredGlobal n/aHlth bhv ivntj fam wo pt 1st
Non-covered: Not covered by Medicare.
2026 Medicare payment
Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number; add the add-on codes to price the whole procedure.
How these numbers were computed
- status=NThis code is not separately payable under the Physician Fee Schedule (status N) — amounts shown are $0.
RVU breakdown (national)
Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF
| Row | Work RVU | PE RVU (office) | PE RVU (facility) | MP RVU | Total (office) |
|---|---|---|---|---|---|
| 96170 | 1.50 | 0.66 | 0.33 | 0.08 | 2.24 |
Payment policy for 96170
CMS's indicator fields, translated. These control which modifiers are payable and how.
Professional/technical (PC/TC)
pctc=9Not applicable
The professional/technical concept does not apply.
Multiple procedures
mult_surg=9Not applicable
The multiple-procedure concept does not apply.
Bilateral (modifier 50)
bilt_surg=9Not applicable
The bilateral concept does not apply.
Assistant surgeon (80/81/82)
asst_surg=9Not applicable
The assistant-at-surgery concept does not apply.
Co-surgeons (modifier 62)
co_surg=9Not applicable
The co-surgeon concept does not apply.
Team surgery (modifier 66)
team_surg=9Not applicable
The team-surgery concept does not apply.
Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.