CPT 93930
Global XXX ActiveUpper extremity study
CPT 93930 Billing & Documentation Guide
CPT code 93930 (Upper extremity study) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.78, a non-facility practice expense RVU of 5.07, and a malpractice RVU of 0.1, a total non-facility RVU of 5.95 and facility RVU of 5.95. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $206.18, though rates vary from $173.24 to $274.9 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93930, 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 93930 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 93930 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 93930
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.78 | 0.78 |
| Practice Expense RVU | 5.07 | 5.07 |
| Malpractice RVU | 0.1 | 0.1 |
| Total RVU | 5.95 | 5.95 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93930
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 | $229.18 | $229.18 | $213.89 - $274.9 | 29 |
| Florida | $202.46 | $202.46 | $192.96 - $210.79 | 3 |
| Georgia | $191.64 | $191.64 | $181.09 - $202.19 | 2 |
| Illinois | $196.15 | $196.15 | $185.88 - $206.07 | 4 |
| Michigan | $189.77 | $189.77 | $184.43 - $195.1 | 2 |
| North Carolina | $186.18 | $186.18 | $186.18 - $186.18 | 1 |
| New York | $220.75 | $220.75 | $189.28 - $235.27 | 5 |
| Ohio | $184.03 | $184.03 | $184.03 - $184.03 | 1 |
| Pennsylvania | $195.73 | $195.73 | $184.67 - $206.79 | 2 |
| Texas | $196.02 | $196.02 | $183.26 - $208.23 | 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 93930
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93930 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0689T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0690T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 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 |
| 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 |
| 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 |
Frequently Asked Questions, CPT 93930
What does CPT code 93930 mean? +
CPT code 93930 represents: Upper extremity study. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93930? +
The 2026 Medicare national average non-facility payment for CPT 93930 is $206.18. Rates range from $173.24 to $274.9 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93930? +
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 93930? +
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 May 31, 2026.
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