CPT 93975
Global XXX ActiveVascular study
CPT 93975 Billing & Documentation Guide
CPT code 93975 (Vascular study) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.13, a non-facility practice expense RVU of 6.5, and a malpractice RVU of 0.13, a total non-facility RVU of 7.76 and facility RVU of 7.76. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $268.81, though rates vary from $226.47 to $357.29 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93975, 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 93975 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 93975 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 93975
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.13 | 1.13 |
| Practice Expense RVU | 6.5 | 6.5 |
| Malpractice RVU | 0.13 | 0.13 |
| Total RVU | 7.76 | 7.76 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93975
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 | $298.35 | $298.35 | $278.66 - $357.29 | 29 |
| Florida | $264.02 | $264.02 | $251.82 - $274.73 | 3 |
| Georgia | $250.12 | $250.12 | $236.58 - $263.65 | 2 |
| Illinois | $255.95 | $255.95 | $242.75 - $268.67 | 4 |
| Michigan | $247.72 | $247.72 | $240.86 - $254.57 | 2 |
| North Carolina | $243.08 | $243.08 | $243.08 - $243.08 | 1 |
| New York | $287.64 | $287.64 | $247.05 - $306.36 | 5 |
| Ohio | $240.34 | $240.34 | $240.34 - $240.34 | 1 |
| Pennsylvania | $255.38 | $255.38 | $241.15 - $269.61 | 2 |
| Texas | $255.73 | $255.73 | $239.34 - $271.36 | 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 93975
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93975 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 |
| 76700 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76705 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76706 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76770 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76775 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 76776 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 93975
What does CPT code 93975 mean? +
CPT code 93975 represents: Vascular study. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93975? +
The 2026 Medicare national average non-facility payment for CPT 93975 is $268.81. Rates range from $226.47 to $357.29 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93975? +
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 93975? +
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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