CPT 93624
No national payment amount
Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation.
Contractor-published range
$3,366.38
Enter your ZIP below for the exact amount. Contractor files on record cover 3 of 119 payment localities — a locality we don't hold means our coverage is incomplete, not that Medicare pays $0.
How much does Medicare pay for CPT 93624? Copy link
CPT 93624 carries status C (carrier-priced) in the Q3 2023 release, so there is no single national rate — Medicare contractors publish their own amounts. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Contractor-published amounts on file range $3,366.38 across 3 localities; enter a ZIP for the exact local amount.
Source: Physician relative value file (Q3 2023) · effective July 2023 · materially updated Aug 7, 2026 · compact facts
Find the local Medicare amount for 93624 Copy link
Medicare sets this price locally
93624 has no single national Physician Fee Schedule amount. Enter the service ZIP to match it to a Medicare locality and the contractor amount we have on file.
Your practical estimate will appear here
We hold files from First_coast across JN, most recently effective Jan 1, 2023. A missing locality means our contractor coverage is incomplete—not that Medicare pays $0.
This is the published amount for this code—not necessarily the entire visit or procedure. A hospital may bill a separate facility charge, and other services, drugs, or supplies can add to the total.
View all 6 published fee rows
| Jurisdiction / locality | Modifier | Note | Par | Non-par | Limiting charge | Effective | Source |
|---|---|---|---|---|---|---|---|
| JN · Florida, Area 03 CMS 09102-03 | — | — | $3,366.38 | $3,198.06 | $3,677.77 | Jan 1, 2023 | Contractor file |
| JN · Florida, Area 03 CMS 09102-03 | -TC | — | $3,097.29 | $2,942.43 | $3,383.79 | Jan 1, 2023 | Contractor file |
| JN · Florida, Area 04 CMS 09102-04 | — | — | $3,366.38 | $3,198.06 | $3,677.77 | Jan 1, 2023 | Contractor file |
| JN · Florida, Area 04 CMS 09102-04 | -TC | — | $3,074.08 | $2,920.38 | $3,358.44 | Jan 1, 2023 | Contractor file |
| JN · Florida, Area 99 CMS 09102-99 | — | — | $3,366.38 | $3,198.06 | $3,677.77 | Jan 1, 2023 | Contractor file |
| JN · Florida, Area 99 CMS 09102-99 | -TC | — | $3,111.47 | $2,955.90 | $3,399.29 | Jan 1, 2023 | Contractor file |
The authenticated MAC fees API returns the same source rows. ZIP5s that span localities are flagged and use only the crosswalk's dominant locality until ZIP+4 overrides are available.
Can you bill it with another code? Copy link
Enter a second CPT or HCPCS code billed the same date of service to check the current NCCI procedure-to-procedure edit between it and 93624.
How often 93624 is billed Copy link
Across Original Medicare in CY2024, 93624 ranked #6,705 of the 7,879 CPT codes billed to Medicare that year, ranked by patients served or total allowed dollars.
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 Q3 2023 fee schedule the rates above come from.
Global period: what 93624's fee already covers Copy link
The fee covers pre-operative and post-operative work on the day of the procedure only — there is no follow-up window afterward. A visit the next day is separately payable.
| Modifier | Reports |
|---|---|
| -25 | A significant, separately identifiable E/M on the same day as the procedure, beyond its usual pre- and post-operative care. |
A modifier reports what happened; it does not by itself make a service payable. Documentation has to support it.
Common questions Copy link
Why is there no payment amount for 93624?
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 93624 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
- 93624 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? Copy link
For patientsWhat does CPT code 93624 mean?
We haven't written the plain-language description for CPT 93624 yet — ask your provider's billing office what service it covers in the meantime.
Billing policy Copy link
What 93624'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. |
Did this answer your question about CPT 93624?
We're building this out in the open. Tell us what you were actually trying to work out and we'll either answer you directly or build the page that does.
Source & method
Show sources
Hide
This is computed from CMS's Medicare Physician Fee Schedule Q3 2023 release (schedule pfs, effective July 2023). 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.
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 Q3 2023 figures, even after a newer release lands.
CPT 93624 Medicare Physician Fee Schedule rate (Q3 2023). Localis. https://localishealth.com/cpt/93624/2023/C