CPT 86793

Did Medicare pay separately for CPT 86793 in Q2 2023?

Not at a published national rate. CPT 86793 carries status X (statutory exclusion) in the Q2 2023 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0.

Source: Physician relative value file (Q2 2023) · effective April 2023 · materially updated Aug 4, 2026 · compact facts

How often 86793 is billed

Across Original Medicare in CY2024, 86793 ranked #5,449 of the 7,879 CPT codes billed to Medicare that year, ranked by patients served or total allowed dollars. Patients who received it in 2024 were billed for it an average of 2.5 times that year — more than once per patient.

2024 Medicare fee-for-service only, national totals — Medicare Advantage, Medicaid and commercial volume are excluded, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q2 2023 fee schedule the rates above come from.

Common questions

How this amount is computed

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

Rate history by release

National non-facility amount for 86793 across quarterly releases.

Related codes

Codes in the same family. Hover a code for when it's used.