93784 Ambl bp mntr w/software
What 93784 is
CMS fee schedule short descriptor: Ambl bp mntr w/software.
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 93784 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.37 | 1.03 | 0.03 | 1.43 | $47.76 |
| Facility (hospital, ASC) | 0.37 | 1.03 | 0.03 | 1.43 | $47.76 |
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 93784 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 93784? These codes are bundled into it
93784 is a Column 1 code in 15 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 | |
|---|---|---|---|
0733T | Rem r-t mtn nrehab ther sply | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
93786 | Ambl bp mntr w/sw rec only | 0 - no modifier bypass | Check pair |
93788 | Ambl bp mntr w/sw a/r | 0 - no modifier bypass | Check pair |
93790 | Ambl bp mntr w/sw i&r | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
98975 | Rtm 1st set-up&pt educaj eqp | 0 - no modifier bypass | Check pair |
98976 | Rtm dev sply resp sys 16-30d | 0 - no modifier bypass | Check pair |
98977 | Rtm dev sply mscskl 16-30 d | 0 - no modifier bypass | Check pair |
99453 | Rem mntr physiol param setup | 0 - no modifier bypass | Check pair |
99454 | Rem mntr physiol param 16-30 | 0 - no modifier bypass | Check pair |
99473 | Self-meas bp pt educaj/train | 0 - no modifier bypass | Check pair |
99474 | Self-meas bp 2 readg bid 30d | 0 - no modifier bypass | Check pair |
G0248 | Demonstrate use home inr mon | 0 - no modifier bypass | 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.