93151 Interrog&prgrmg ipnss
What 93151 is
CMS fee schedule short descriptor: Interrog&prgrmg ipnss.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 93151 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.78 | 1.99 | 0.06 | 2.83 | $94.52 |
| Facility (hospital, ASC) | 0.78 | 0.19 | 0.06 | 1.03 | $34.40 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 93151 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 93151? These codes are bundled into it
93151 is a Column 1 code in 7 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
93153 | Interrog w/o prgrmg ipnss | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99155 | Mod sed oth phys/qhp <5 yrs | 0 - no modifier bypass | Check pair |
99156 | Mod sed oth phys/qhp 5/>yrs | 0 - no modifier bypass | Check pair |
99157 | Mod sed other phys/qhp ea | 0 - no modifier bypass | Check pair |
93151 is bundled into these codes
93151 appears as a Column 2 code in 3 active edits. Reported with one of these Column 1 codes on the same date of service, 93151 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
33276 | Insj phrnc nrv stim sys | 0 | Check pair |
93150 | Therapy activation ipnss | 0 | Check pair |
93152 | Interrog&prgrmg ipnss polysm | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.