CPT 93463
Global ZZZ ActiveDrug admin & hemodynmic meas
CPT 93463 Billing & Documentation Guide
CPT code 93463 (Drug admin & hemodynmic meas) is classified under Cardiovascular with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.95, a non-facility practice expense RVU of 0.78, and a malpractice RVU of 0.14, a total non-facility RVU of 2.87 and facility RVU of 2.48. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $97.66, though rates vary from $89.92 to $128.02 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93463, 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 93463 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 1 units of 93463 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 93463
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.95 | 1.95 |
| Practice Expense RVU | 0.78 | 0.39 |
| Malpractice RVU | 0.14 | 0.14 |
| Total RVU | 2.87 | 2.48 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93463
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 | $100.83 | $85.41 | $97.3 - $112.37 | 29 |
| Florida | $100.38 | $87.3 | $97.07 - $104.08 | 3 |
| Georgia | $95.68 | $83.26 | $93.94 - $97.41 | 2 |
| Illinois | $99.47 | $86.88 | $96.23 - $102.5 | 4 |
| Michigan | $96.18 | $83.95 | $94.2 - $98.16 | 2 |
| North Carolina | $92.43 | $80.27 | $92.43 - $92.43 | 1 |
| New York | $103.64 | $89.11 | $93.17 - $108.96 | 5 |
| Ohio | $93.63 | $81.74 | $93.63 - $93.63 | 1 |
| Pennsylvania | $96.24 | $83.48 | $93.47 - $99 | 2 |
| Texas | $95.48 | $82.66 | $93.18 - $97.96 | 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 93463
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93463 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 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 |
| 93050 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99143 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99144 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99145 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99148 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99149 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99150 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 93463
What does CPT code 93463 mean? +
CPT code 93463 represents: Drug admin & hemodynmic meas. It's in the Cardiovascular category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 93463? +
The 2026 Medicare national average non-facility payment for CPT 93463 is $97.66. Rates range from $89.92 to $128.02 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93463? +
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 93463? +
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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