CPT 93893
Global XXX ActiveTcd std icr art ven-art shnt
CPT 93893 Billing & Documentation Guide
CPT code 93893 (Tcd std icr art ven-art shnt) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.12, a non-facility practice expense RVU of 9.73, and a malpractice RVU of 0.1, a total non-facility RVU of 10.95 and facility RVU of 10.95. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $380.2, though rates vary from $318.3 to $511.95 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93893, 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 93893 with related codes; this code has 5 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 93893 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 93893
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.12 | 1.12 |
| Practice Expense RVU | 9.73 | 9.73 |
| Malpractice RVU | 0.1 | 0.1 |
| Total RVU | 10.95 | 10.95 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93893
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 | $425.12 | $425.12 | $396.03 - $511.95 | 29 |
| Florida | $369.98 | $369.98 | $353.12 - $384.17 | 3 |
| Georgia | $351.5 | $351.5 | $331.28 - $371.72 | 2 |
| Illinois | $357.95 | $357.95 | $339.35 - $377.36 | 4 |
| Michigan | $347.28 | $347.28 | $337.9 - $356.66 | 2 |
| North Carolina | $342.76 | $342.76 | $342.76 - $342.76 | 1 |
| New York | $406.28 | $406.28 | $348.5 - $432.42 | 5 |
| Ohio | $337.49 | $337.49 | $337.49 - $337.49 | 1 |
| Pennsylvania | $359.65 | $359.65 | $338.91 - $380.38 | 2 |
| Texas | $360.67 | $360.67 | $336.25 - $384.28 | 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 93893
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93893 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 |
| 93888 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 93892 | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 93893
What does CPT code 93893 mean? +
CPT code 93893 represents: Tcd std icr art ven-art shnt. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93893? +
The 2026 Medicare national average non-facility payment for CPT 93893 is $380.2. Rates range from $318.3 to $511.95 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93893? +
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 93893? +
This code has 5 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 June 1, 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