CPT 93297
Global XXX ActiveRem interrog dev eval icpms
CPT 93297 Billing & Documentation Guide
CPT code 93297 (Rem interrog dev eval icpms) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.51, a non-facility practice expense RVU of 1.28, and a malpractice RVU of 0.03, a total non-facility RVU of 1.82 and facility RVU of 1.82. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $62.86, though rates vary from $54.28 to $81.1 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93297, 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 93297 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 93297 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 93297
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.51 | 0.51 |
| Practice Expense RVU | 1.28 | 1.28 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 1.82 | 1.82 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93297
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 | $68.78 | $68.78 | $64.72 - $81.1 | 29 |
| Florida | $61.88 | $61.88 | $59.41 - $64.07 | 3 |
| Georgia | $59.05 | $59.05 | $56.36 - $61.73 | 2 |
| Illinois | $60.32 | $60.32 | $57.63 - $62.84 | 4 |
| Michigan | $58.59 | $58.59 | $57.2 - $59.98 | 2 |
| North Carolina | $57.56 | $57.56 | $57.56 - $57.56 | 1 |
| New York | $66.9 | $66.9 | $58.35 - $70.82 | 5 |
| Ohio | $57.08 | $57.08 | $57.08 - $57.08 | 1 |
| Pennsylvania | $60.14 | $60.14 | $57.23 - $63.04 | 2 |
| Texas | $60.15 | $60.15 | $56.87 - $63.19 | 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 93297
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93297 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 0306T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0391T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0463T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0497T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0498T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0529T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 93297
What does CPT code 93297 mean? +
CPT code 93297 represents: Rem interrog dev eval icpms. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93297? +
The 2026 Medicare national average non-facility payment for CPT 93297 is $62.86. Rates range from $54.28 to $81.1 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93297? +
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 93297? +
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 2, 2026.
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