CPT 93567
Global ZZZ ActiveNjx car cth sprvlv aortgrphy
CPT 93567 Billing & Documentation Guide
CPT code 93567 (Njx car cth sprvlv aortgrphy) is classified under Cardiovascular with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.68, a non-facility practice expense RVU of 0.26, and a malpractice RVU of 0.16, a total non-facility RVU of 1.1 and facility RVU of 0.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $36.81, though rates vary from $32.68 to $46.26 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93567, 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 93567 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 93567 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 93567
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.68 | 0.68 |
| Practice Expense RVU | 0.26 | 0.13 |
| Malpractice RVU | 0.16 | 0.16 |
| Total RVU | 1.1 | 0.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93567
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 | $36.7 | $31.56 | $35.48 - $40.6 | 29 |
| Florida | $41.83 | $37.47 | $39.05 - $45.27 | 3 |
| Georgia | $37.43 | $33.29 | $36.83 - $38.02 | 2 |
| Illinois | $41.39 | $37.2 | $38.99 - $43.86 | 4 |
| Michigan | $38.39 | $34.31 | $36.67 - $40.1 | 2 |
| North Carolina | $34.23 | $30.18 | $34.23 - $34.23 | 1 |
| New York | $40.74 | $35.9 | $34.72 - $44.42 | 5 |
| Ohio | $36.03 | $32.06 | $36.03 - $36.03 | 1 |
| Pennsylvania | $37.14 | $32.89 | $35.73 - $38.54 | 2 |
| Texas | $36.35 | $32.08 | $35.58 - $38.87 | 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 93567
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93567 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01920 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01925 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01926 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0213T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0216T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 93567
What does CPT code 93567 mean? +
CPT code 93567 represents: Njx car cth sprvlv aortgrphy. It's in the Cardiovascular category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 93567? +
The 2026 Medicare national average non-facility payment for CPT 93567 is $36.81. Rates range from $32.68 to $46.26 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93567? +
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 93567? +
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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