CPT 93897
Global ZZZ ActiveEmboli detcj wo iv mbubb njx
CPT 93897 Billing & Documentation Guide
CPT code 93897 (Emboli detcj wo iv mbubb njx) is classified under Cardiovascular with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.71, a non-facility practice expense RVU of 6.32, and a malpractice RVU of 0.08, a total non-facility RVU of 7.11 and facility RVU of 7.11. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $246.79, though rates vary from $206.42 to $332.15 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93897, 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 current NCCI edits before bundling with related codes.
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 93897 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 93897
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.71 | 0.71 |
| Practice Expense RVU | 6.32 | 6.32 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 7.11 | 7.11 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93897
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 | $275.8 | $275.8 | $256.91 - $332.15 | 29 |
| Florida | $240.71 | $240.71 | $229.54 - $250.22 | 3 |
| Georgia | $228.33 | $228.33 | $215.2 - $241.47 | 2 |
| Illinois | $232.87 | $232.87 | $220.62 - $245.41 | 4 |
| Michigan | $225.7 | $225.7 | $219.46 - $231.93 | 2 |
| North Carolina | $222.37 | $222.37 | $222.37 - $222.37 | 1 |
| New York | $263.97 | $263.97 | $226.13 - $281.18 | 5 |
| Ohio | $219.14 | $219.14 | $219.14 - $219.14 | 1 |
| Pennsylvania | $233.55 | $233.55 | $220.02 - $247.08 | 2 |
| Texas | $234.15 | $234.15 | $218.29 - $249.47 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
Frequently Asked Questions, CPT 93897
What does CPT code 93897 mean? +
CPT code 93897 represents: Emboli detcj wo iv mbubb njx. It's in the Cardiovascular category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 93897? +
The 2026 Medicare national average non-facility payment for CPT 93897 is $246.79. Rates range from $206.42 to $332.15 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93897? +
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 93897? +
No NCCI PTP edits currently on file for this code.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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