CPT 93970
Global XXX ActiveExtremity study
CPT 93970 Billing & Documentation Guide
CPT code 93970 (Extremity study) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.68, a non-facility practice expense RVU of 4.74, and a malpractice RVU of 0.09, a total non-facility RVU of 5.51 and facility RVU of 5.51. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $190.98, though rates vary from $160.26 to $255.12 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93970, 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 93970 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 93970 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 93970
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.68 | 0.68 |
| Practice Expense RVU | 4.74 | 4.74 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 5.51 | 5.51 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93970
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 | $212.49 | $212.49 | $198.23 - $255.12 | 29 |
| Florida | $187.41 | $187.41 | $178.58 - $195.13 | 3 |
| Georgia | $177.38 | $177.38 | $167.52 - $187.24 | 2 |
| Illinois | $181.51 | $181.51 | $171.96 - $190.79 | 4 |
| Michigan | $175.61 | $175.61 | $170.65 - $180.56 | 2 |
| North Carolina | $172.35 | $172.35 | $172.35 - $172.35 | 1 |
| New York | $204.5 | $204.5 | $175.23 - $217.99 | 5 |
| Ohio | $170.29 | $170.29 | $170.29 - $170.29 | 1 |
| Pennsylvania | $181.2 | $181.2 | $170.89 - $191.52 | 2 |
| Texas | $181.5 | $181.5 | $169.58 - $192.92 | 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 93970
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93970 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 |
| 76937 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 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 |
Frequently Asked Questions, CPT 93970
What does CPT code 93970 mean? +
CPT code 93970 represents: Extremity study. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93970? +
The 2026 Medicare national average non-facility payment for CPT 93970 is $190.98. Rates range from $160.26 to $255.12 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93970? +
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 93970? +
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 2, 2026.
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