CPT 92973
Global ZZZ ActivePrq trluml c mchn asp thrmbc
CPT 92973 Billing & Documentation Guide
CPT code 92973 (Prq trluml c mchn asp thrmbc) is classified under Cardiovascular with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.71, a non-facility practice expense RVU of 0.33, and a malpractice RVU of 0.4, a total non-facility RVU of 2.44 and facility RVU of 2.44. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $81.22, though rates vary from $71.79 to $104.77 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92973, 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 92973 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 92973 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 92973
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.71 | 1.71 |
| Practice Expense RVU | 0.33 | 0.33 |
| Malpractice RVU | 0.4 | 0.4 |
| Total RVU | 2.44 | 2.44 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92973
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 | $79.45 | $79.45 | $77.33 - $86.45 | 29 |
| Florida | $94.18 | $94.18 | $87.73 - $102.38 | 3 |
| Georgia | $83.7 | $83.7 | $82.87 - $84.53 | 2 |
| Illinois | $93.5 | $93.5 | $88.06 - $99.25 | 4 |
| Michigan | $86.27 | $86.27 | $82.26 - $90.28 | 2 |
| North Carolina | $75.94 | $75.94 | $75.94 - $75.94 | 1 |
| New York | $90.28 | $90.28 | $76.98 - $98.69 | 5 |
| Ohio | $80.65 | $80.65 | $80.65 - $80.65 | 1 |
| Pennsylvania | $82.71 | $82.71 | $79.86 - $85.56 | 2 |
| Texas | $80.69 | $80.69 | $78.92 - $86.9 | 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 92973
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92973 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01924 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01925 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0913T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 11042 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 92973
What does CPT code 92973 mean? +
CPT code 92973 represents: Prq trluml c mchn asp thrmbc. It's in the Cardiovascular category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 92973? +
The 2026 Medicare national average non-facility payment for CPT 92973 is $81.22. Rates range from $71.79 to $104.77 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92973? +
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 92973? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team