CPT 93288
Global XXX ActiveInterrog evl pm/ldls pm ip
CPT 93288 Billing & Documentation Guide
CPT code 93288 (Interrog evl pm/ldls pm ip) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.42, a non-facility practice expense RVU of 1.22, and a malpractice RVU of 0.02, a total non-facility RVU of 1.66 and facility RVU of 1.66. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $57.41, though rates vary from $49.38 to $74.69 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93288, 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 93288 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 93288 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 93288
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.42 | 0.42 |
| Practice Expense RVU | 1.22 | 1.22 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 1.66 | 1.66 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93288
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 | $63.11 | $63.11 | $59.29 - $74.69 | 29 |
| Florida | $56.21 | $56.21 | $53.99 - $58.14 | 3 |
| Georgia | $53.72 | $53.72 | $51.17 - $56.27 | 2 |
| Illinois | $54.73 | $54.73 | $52.28 - $57.16 | 4 |
| Michigan | $53.24 | $53.24 | $51.99 - $54.48 | 2 |
| North Carolina | $52.47 | $52.47 | $52.47 - $52.47 | 1 |
| New York | $61.06 | $61.06 | $53.21 - $64.62 | 5 |
| Ohio | $51.91 | $51.91 | $51.91 - $51.91 | 1 |
| Pennsylvania | $54.79 | $54.79 | $52.07 - $57.5 | 2 |
| Texas | $54.84 | $54.84 | $51.73 - $57.76 | 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 93288
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93288 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 |
| 0295T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0296T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0297T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0298T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0390T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0391T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0497T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 93288
What does CPT code 93288 mean? +
CPT code 93288 represents: Interrog evl pm/ldls pm ip. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93288? +
The 2026 Medicare national average non-facility payment for CPT 93288 is $57.41. Rates range from $49.38 to $74.69 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93288? +
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 93288? +
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 June 1, 2026.
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