CPT 93018
Global XXX ActiveCv stress test i&r only
CPT 93018 Billing & Documentation Guide
CPT code 93018 (Cv stress test i&r only) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.29, a non-facility practice expense RVU of 0.11, and a malpractice RVU of 0.01, a total non-facility RVU of 0.41 and facility RVU of 0.41. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $14, though rates vary from $13.01 to $18.63 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93018, 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 93018 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 93018 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 93018
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.29 | 0.29 |
| Practice Expense RVU | 0.11 | 0.11 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 0.41 | 0.41 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93018
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 | $14.56 | $14.56 | $14.06 - $16.23 | 29 |
| Florida | $14.02 | $14.02 | $13.7 - $14.36 | 3 |
| Georgia | $13.61 | $13.61 | $13.36 - $13.85 | 2 |
| Illinois | $13.91 | $13.91 | $13.56 - $14.21 | 4 |
| Michigan | $13.61 | $13.61 | $13.42 - $13.79 | 2 |
| North Carolina | $13.33 | $13.33 | $13.33 - $13.33 | 1 |
| New York | $14.7 | $14.7 | $13.41 - $15.29 | 5 |
| Ohio | $13.38 | $13.38 | $13.38 - $13.38 | 1 |
| Pennsylvania | $13.73 | $13.73 | $13.37 - $14.08 | 2 |
| Texas | $13.67 | $13.67 | $13.34 - $13.89 | 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 93018
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93018 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0178T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0179T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0180T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
Frequently Asked Questions, CPT 93018
What does CPT code 93018 mean? +
CPT code 93018 represents: Cv stress test i&r only. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93018? +
The 2026 Medicare national average non-facility payment for CPT 93018 is $14. Rates range from $13.01 to $18.63 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93018? +
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 93018? +
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 May 31, 2026.
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