CPT 2026 · Cardiovascular

CPT 93596

Global 000

R&l hrt cath chd nml nt cnj

Effective 2026-04-01 Conv. factor $33.4009

No national RVU

Payment Methodology

Status Indicator

NCCI Partners

000

Global Period

No national RVU

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

CPT 93596 Billing & Documentation Guide

CPT code 93596 (R&l hrt cath chd nml nt cnj) is classified under Cardiovascular with a global period indicator of 000. This code uses the No national RVU payment methodology rather than standard RVU-based Physician Fee Schedule pricing. Refer to the methodology notice above for billing implications.

When billing 93596, 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 93596 with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator

Carrier-priced (MAC determines payment locally)

Global Period

000

Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day

MUE Limit (Medically Unlikely Edits)

Max units per beneficiary per date of service

Rationale: Nature of Service/Procedure

Adjudication: Date of Service (Clinical)

Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 1 units of 93596 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.

NCCI Bundling Edits, CPT 93596

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93596 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
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
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

Frequently Asked Questions, CPT 93596

What does CPT code 93596 mean? +

CPT code 93596 represents: R&l hrt cath chd nml nt cnj. It's in the Cardiovascular category with a global period of 000.

What is the Medicare reimbursement for CPT 93596? +

This code does not have a national work RVU on the current Physician Fee Schedule. Pricing may be carrier-determined, non-covered, or tracked via a separate methodology.

What modifiers can I use with CPT 93596? +

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 93596? +

This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.