CPT 93351
Global XXX ActiveStress tte complete
CPT 93351 Billing & Documentation Guide
CPT code 93351 (Stress tte complete) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.71, a non-facility practice expense RVU of 5.18, and a malpractice RVU of 0.1, a total non-facility RVU of 6.99 and facility RVU of 6.99. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $241.71, though rates vary from $207.46 to $314.68 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93351, 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 93351 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 93351 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 93351
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.71 | 1.71 |
| Practice Expense RVU | 5.18 | 5.18 |
| Malpractice RVU | 0.1 | 0.1 |
| Total RVU | 6.99 | 6.99 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93351
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 | $265.7 | $265.7 | $249.5 - $314.68 | 29 |
| Florida | $237.21 | $237.21 | $227.54 - $245.67 | 3 |
| Georgia | $226.26 | $226.26 | $215.43 - $237.08 | 2 |
| Illinois | $230.88 | $230.88 | $220.3 - $241.12 | 4 |
| Michigan | $224.28 | $224.28 | $218.85 - $229.71 | 2 |
| North Carolina | $220.67 | $220.67 | $220.67 - $220.67 | 1 |
| New York | $257.38 | $257.38 | $223.83 - $272.69 | 5 |
| Ohio | $218.45 | $218.45 | $218.45 - $218.45 | 1 |
| Pennsylvania | $230.67 | $230.67 | $219.1 - $242.24 | 2 |
| Texas | $230.86 | $230.86 | $217.66 - $243.24 | 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 93351
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93351 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 36005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 93351
What does CPT code 93351 mean? +
CPT code 93351 represents: Stress tte complete. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93351? +
The 2026 Medicare national average non-facility payment for CPT 93351 is $241.71. Rates range from $207.46 to $314.68 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93351? +
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 93351? +
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 May 31, 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