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93598 Car outp meas drg cath chd

What 93598 is

CMS fee schedule short descriptor: Car outp meas drg cath chd.

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 93598 (CY2026)

This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 93598 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 93598? These codes are bundled into it

93598 is a Column 1 code in 170 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 codeShort descriptionModifier indicator
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck pair
12004Rpr s/n/ax/gen/trk7.6-12.5cm1 - modifier may bypassCheck pair
12005Rpr s/n/a/gen/trk12.6-20.0cm1 - modifier may bypassCheck pair
12006Rpr s/n/a/gen/trk20.1-30.0cm1 - modifier may bypassCheck pair
12007Rpr s/n/ax/gen/trnk >30.0 cm1 - modifier may bypassCheck pair
12011Rpr f/e/e/n/l/m 2.5 cm/<1 - modifier may bypassCheck pair
12013Rpr f/e/e/n/l/m 2.6-5.0 cm1 - modifier may bypassCheck pair
12014Rpr f/e/e/n/l/m 5.1-7.5 cm1 - modifier may bypassCheck pair
12015Rpr f/e/e/n/l/m 7.6-12.5 cm1 - modifier may bypassCheck pair
12016Rpr fe/e/en/l/m 12.6-20.0 cm1 - modifier may bypassCheck pair
12017Rpr fe/e/en/l/m 20.1-30.0 cm1 - modifier may bypassCheck pair
12018Rpr f/e/e/n/l/m >30.0 cm1 - modifier may bypassCheck pair
12020Tx supfc wnd dehsn smpl clsr1 - modifier may bypassCheck pair
12021Tx supfc wnd dehsn w/packing1 - modifier may bypassCheck pair
12031Intmd rpr s/a/t/ext 2.5 cm/<1 - modifier may bypassCheck pair
12032Intmd rpr s/a/t/ext 2.6-7.51 - modifier may bypassCheck pair
12034Intmd rpr s/tr/ext 7.6-12.51 - modifier may bypassCheck pair
12035Intmd rpr s/a/t/ext 12.6-201 - modifier may bypassCheck pair
12036Intmd rpr s/a/t/ext 20.1-301 - modifier may bypassCheck pair
12037Intmd rpr s/tr/ext >30.0 cm1 - modifier may bypassCheck pair
12041Intmd rpr n-hf/genit 2.5cm/<1 - modifier may bypassCheck pair
12042Intmd rpr n-hf/genit2.6-7.51 - modifier may bypassCheck pair
12044Intmd rpr n-hf/genit7.6-12.51 - modifier may bypassCheck pair
12045Intmd rpr n-hf/genit12.6-201 - modifier may bypassCheck pair
12046Intmd rpr n-hf/genit20.1-301 - modifier may bypassCheck pair
12047Intmd rpr n-hf/genit >30.0cm1 - modifier may bypassCheck pair
12051Intmd rpr face/mm 2.5 cm/<1 - modifier may bypassCheck pair

Showing 30 of 170 column 2 codes. Use the pair checker for any specific combination.

93598 is bundled into these codes

93598 appears as a Column 2 code in 367 active edits. Reported with one of these Column 1 codes on the same date of service, 93598 is the code that denies.

Column 1 codeShort descriptionModifier indicator
00100Anes px salivary gland w/bx0Check pair
00102Anes px plstc rpr cleft lip0Check pair
00103Anes rcnstv px eyelid0Check pair
00104Anes electroconvulsive ther0Check pair
00120Anes px ear w/bx nos0Check pair
00124Anes px ear otoscopy0Check pair
00126Anes px ear tympanotomy0Check pair
00140Anes procedures on eye nos0Check pair
00142Anes px on eye lens surgery0Check pair
00144Anes px eye corneal trnspl0Check pair
00145Anes px eye vitreortnl surg0Check pair
00147Anes px on eye iridectomy0Check pair
00148Anes px eye ophthalmoscopy0Check pair
00160Anes px nose&sinus nos0Check pair
00162Anes px nose&sinus rad surg0Check 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.