CPT 93886
Global XXX ActiveIntracranial complete study
CPT 93886 Billing & Documentation Guide
CPT code 93886 (Intracranial complete study) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.88, a non-facility practice expense RVU of 7.11, and a malpractice RVU of 0.09, a total non-facility RVU of 8.08 and facility RVU of 8.08. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $280.41, though rates vary from $234.94 to $376.68 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93886, 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 93886 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 93886 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 93886
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.88 | 0.88 |
| Practice Expense RVU | 7.11 | 7.11 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 8.08 | 8.08 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93886
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 | $313.08 | $313.08 | $291.78 - $376.68 | 29 |
| Florida | $273.52 | $273.52 | $260.94 - $284.21 | 3 |
| Georgia | $259.59 | $259.59 | $244.81 - $274.37 | 2 |
| Illinois | $264.71 | $264.71 | $250.91 - $278.82 | 4 |
| Michigan | $256.62 | $256.62 | $249.61 - $263.63 | 2 |
| North Carolina | $252.88 | $252.88 | $252.88 - $252.88 | 1 |
| New York | $299.8 | $299.8 | $257.11 - $319.22 | 5 |
| Ohio | $249.24 | $249.24 | $249.24 - $249.24 | 1 |
| Pennsylvania | $265.49 | $265.49 | $250.24 - $280.73 | 2 |
| Texas | $266.15 | $266.15 | $248.29 - $283.37 | 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 93886
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93886 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 |
| 76970 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76986 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76998 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 93325 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 93888 | Column 1 (primary), can be billed with modifier | No | HCPCS/CPT procedure code definition |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99201 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 99202 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 93886
What does CPT code 93886 mean? +
CPT code 93886 represents: Intracranial complete study. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93886? +
The 2026 Medicare national average non-facility payment for CPT 93886 is $280.41. Rates range from $234.94 to $376.68 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93886? +
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 93886? +
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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