CPT 93533
No national payment amount
Carrier-priced: no national payment amount.
Did Medicare pay separately for CPT 93533 in Q1 2017?
Not at a published national rate. CPT 93533 carries status C (carrier-priced) in the Q1 2017 release. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Treat the blank amount as unpriced, not as $0.
Source: Physician relative value file (Q1 2017) · effective January 2017 · materially updated Aug 4, 2026 · compact facts
Common questions
Why is there no payment amount for 93533?
Its status indicator is C (carrier-priced). Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.
Why would a Medicare claim for 93533 be denied or paid less?
Each item below comes from a CMS indicator on this page — not general billing advice.
- Its status indicator is C (carrier-priced) — Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. See status indicators
- 93533 splits into a professional component (modifier 26) and a technical component (modifier TC) — a claim for only one part needs that modifier to price correctly. See billing policy
- Bilateral surgery: no bilateral adjustment. See billing policy
- Assistant at surgery: restricted without documentation. See billing policy
- Co-surgeons: not permitted. See billing policy
- Team surgery: not permitted. See billing policy
- Multiple procedures: standard reduction applies. See billing policy
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
Saw this code on your bill?
What is a 93533 visit in patient-friendly terms?
We haven't written the plain-language description for CPT 93533 yet — ask your provider's billing office what service it covers in the meantime.
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.
| Component | RVU |
|---|---|
| Work RVU | blank |
| Practice expense RVU (non-facility) | blank |
| Practice expense RVU (facility) | blank |
| Malpractice RVU | blank |
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.
Billing policy
What 93533's billing-policy indicators mean. These show for every code, priced or not: a restriction like "bilateral not allowed" still matters on a carrier-priced code.
| Policy | Value | What it means |
|---|---|---|
| Bilateral surgery | 0 | No bilateral adjustment. The 150% bilateral payment adjustment does not apply to this procedure. |
| Assistant at surgery | 0 | Restricted without documentation. Payment for an assistant at surgery is restricted for this procedure unless supporting documentation establishes medical necessity. |
| Co-surgeons | 0 | Not permitted. Medicare does not recognize co-surgeons (modifier 62) for this procedure. |
| Team surgery | 0 | Not permitted. Medicare does not recognize a surgical team (modifier 66) for this procedure. |
| Multiple procedures | 2 | Standard reduction applies. The same standard ranking-and-reduction rule as indicator 1 applies to this procedure when billed with others on the same date. |
| Professional/technical split | 1 | Splits into professional and technical. This procedure splits into a professional component (modifier 26) and a technical component (modifier TC), each separately payable. |
Rate history by release
National non-facility amount for 93533 across quarterly releases.
| Release | Status | Non-facility | Facility |
|---|---|---|---|
| Q4 2021 Aug 3, 2021 – present | C | — | — |
| Q3 2021 Jun 10, 2021 – Aug 2, 2021 | C | — | — |
| Q2 2021 Feb 26, 2021 – Jun 9, 2021 | C | — | — |
| Q1 2021 Dec 29, 2020 – Feb 25, 2021 | C | — | — |
| Q4 2020 Oct 21, 2020 – Dec 28, 2020 | C | — | — |
| Q3 2020 Jun 18, 2020 – Oct 20, 2020 | C | — | — |
| Q2 2020 Apr 30, 2020 – Jun 17, 2020 | C | — | — |
| Q1 2020 Nov 8, 2019 – Apr 29, 2020 | C | — | — |
| Q4 2019 Aug 2, 2019 – Nov 7, 2019 | C | — | — |
| Q3 2019 May 3, 2019 – Aug 1, 2019 | C | — | — |
| Q2 2019 Mar 1, 2019 – May 2, 2019 | C | — | — |
| Q1 2019 Dec 13, 2018 – Feb 28, 2019 | C | — | — |
| Q4 2018 Aug 3, 2018 – Dec 12, 2018 | C | — | — |
| Q3 2018 Apr 30, 2018 – Aug 2, 2018 | C | — | — |
| Q2 2018 Feb 12, 2018 – Apr 29, 2018 | C | — | — |
| Q1 2018 Feb 9, 2018 – Feb 11, 2018 | C | — | — |
| Q4 2017 Aug 18, 2017 – Feb 8, 2018 | C | — | — |
| Q3 2017 May 3, 2017 – Aug 17, 2017 | C | — | — |
| Q2 2017 Feb 9, 2017 – May 2, 2017 | C | — | — |
| Q1 2017 Nov 14, 2016 – Feb 8, 2017 | C | — | — |
| Q4 2016 Aug 5, 2016 – Nov 13, 2016 | C | — | — |
| Q3 2016 May 17, 2016 – Aug 4, 2016 | C | — | — |
| Q2 2016 Feb 2, 2016 – May 16, 2016 | C | — | — |
| Q1 2016 Jan 21, 2016 – Feb 1, 2016 | C | — | — |
| Q4 2015 Oct 2, 2015 – Jan 20, 2016 | C | — | — |
| Q3 2015 May 15, 2015 – Oct 1, 2015 | C | — | — |
| Q2 2015 Feb 13, 2015 – May 14, 2015 | C | — | — |
| Q1 2015 Dec 23, 2014 – Feb 12, 2015 | C | — | — |
| Q4 2014 Aug 19, 2014 – Dec 22, 2014 | C | — | — |
| Q3 2014 May 15, 2014 – Aug 18, 2014 | C | — | — |
| Q2 2014 Mar 24, 2014 – May 14, 2014 | C | — | — |
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Source & method
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This is computed from CMS's Medicare Physician Fee Schedule Q1 2017 release (schedule pfs, effective January 2017). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.
Conversion factor $35.8887 read from the same file, row 11, column 25.
Use the (i) buttons next to each amount above for the exact row, columns, and math.
Cite this rate
This link keeps pointing at the Q1 2017 figures, even after a newer release lands.
CPT 93533 Medicare Physician Fee Schedule rate (Q1 2017). Localis. https://localishealth.com/cpt/93533/2017/A