CPT 93898
Global ZZZ ActiveVen-artl shunt det mbubb njx
CPT 93898 Billing & Documentation Guide
CPT code 93898 (Ven-artl shunt det mbubb njx) is classified under Cardiovascular with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.83, a non-facility practice expense RVU of 6.95, and a malpractice RVU of 0.08, a total non-facility RVU of 7.86 and facility RVU of 7.86. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $272.84, though rates vary from $228.5 to $366.94 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93898, 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 93898 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 93898
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.83 | 0.83 |
| Practice Expense RVU | 6.95 | 6.95 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 7.86 | 7.86 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93898
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 | $304.85 | $304.85 | $284.05 - $366.94 | 29 |
| Florida | $265.83 | $265.83 | $253.66 - $276.13 | 3 |
| Georgia | $252.42 | $252.42 | $237.97 - $266.87 | 2 |
| Illinois | $257.23 | $257.23 | $243.84 - $271.06 | 4 |
| Michigan | $249.46 | $249.46 | $242.68 - $256.24 | 2 |
| North Carolina | $246.01 | $246.01 | $246.01 - $246.01 | 1 |
| New York | $291.64 | $291.64 | $250.13 - $310.47 | 5 |
| Ohio | $242.36 | $242.36 | $242.36 - $242.36 | 1 |
| Pennsylvania | $258.21 | $258.21 | $243.35 - $273.06 | 2 |
| Texas | $258.9 | $258.9 | $241.45 - $275.75 | 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 93898
What does CPT code 93898 mean? +
CPT code 93898 represents: Ven-artl shunt det mbubb njx. It's in the Cardiovascular category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 93898? +
The 2026 Medicare national average non-facility payment for CPT 93898 is $272.84. Rates range from $228.5 to $366.94 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93898? +
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 93898? +
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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