CPT 93923
Global XXX ActiveUpr/lxtr art stdy 3+ lvls
CPT 93923 Billing & Documentation Guide
CPT code 93923 (Upr/lxtr art stdy 3+ lvls) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.44, a non-facility practice expense RVU of 3.47, and a malpractice RVU of 0.09, a total non-facility RVU of 4 and facility RVU of 4. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $138.53, though rates vary from $115.8 to $185.05 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93923, 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 93923 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 2 units of 93923 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 93923
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.44 | 0.44 |
| Practice Expense RVU | 3.47 | 3.47 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 4 | 4 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93923
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 | $154 | $154 | $143.59 - $185.05 | 29 |
| Florida | $136.84 | $136.84 | $130.02 - $142.95 | 3 |
| Georgia | $128.89 | $128.89 | $121.66 - $136.11 | 2 |
| Illinois | $132.48 | $132.48 | $125.21 - $139.16 | 4 |
| Michigan | $127.76 | $127.76 | $123.91 - $131.61 | 2 |
| North Carolina | $124.75 | $124.75 | $124.75 - $124.75 | 1 |
| New York | $148.78 | $148.78 | $126.92 - $159.03 | 5 |
| Ohio | $123.54 | $123.54 | $123.54 - $123.54 | 1 |
| Pennsylvania | $131.57 | $131.57 | $123.93 - $139.2 | 2 |
| Texas | $131.68 | $131.68 | $122.96 - $140.01 | 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 93923
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93923 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0337T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0694T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 |
| 76375 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76376 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76377 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76880 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 76881 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 76882 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 93923
What does CPT code 93923 mean? +
CPT code 93923 represents: Upr/lxtr art stdy 3+ lvls. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93923? +
The 2026 Medicare national average non-facility payment for CPT 93923 is $138.53. Rates range from $115.8 to $185.05 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93923? +
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 93923? +
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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