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CPT 93668 Medicare payment status

Excluded from PFS

93668 · PFS Q1 2013 · Historical

No national PFS rate in Q1 2013

Status N: non-covered. Medicare covers no part of this service, so the PFS produces no payment amount.

View applicable payment rules
View CMS source and method

CMS RVU13AJanuary 1 – March 31, 2013revision 2

PFS status evidence

Physician relative value file (Q1 2013) · rvu13ar.zip (PPRRVU13_V1226_UP0.csv row 14,800)
Inspect PFS status evidence
Code
93668
Release
Q1 2013, revision 2
Result
Excluded from PFS

Citations

  • Shows this code’s PFS status (N). Result: Excluded from PFS.

    Physician relative value file (PPRRVU)CMS RVU13AJanuary 1 – March 31, 2013revision 2

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    PPRRVU13_V1226_UP0.csv row 14,800 in rvu13ar.zip

    In the CMS file

    Loading rows 14,798–14,802 of PPRRVU13_V1226_UP0.csv…

    Download rvu13ar.zip from CMS File fingerprint 79b1988bb9cbab6a61634b6463d26ce88cca431c3e36fa3b73792f29882d95b4

Report a problem

CPT 93668 has no published national rate. It carries status N (non-covered) in the Q1 2013 release. Medicare covers no part of this service. The blank amount means unpriced, not $0.

Why is there no national PFS amount for 93668?

Its status indicator is N (non-covered). Medicare covers no part of this service. Status N: non-covered. Medicare covers no part of this service, so the PFS produces no payment amount.

Which billing rules and modifiers apply? Copy link

CMS's surgical and split-billing indicators don't adjust 93668's amount.

Global surgery period XXX (does not apply).

Why would a Medicare claim for 93668 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is N (non-covered)—Medicare covers no part of this service. See status indicators

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.

CMS RVU13AJanuary 1 – March 31, 2013revision 2

Can you bill it with another code? Copy link

This code

93668

See every current NCCI pair for 93668 →

Source & method Copy link

  1. 01 PPRRVU13_V1226_UP0.csv · Q1 2013 (RVU13A) · row 14,800—status N, RVUs limits
    Effective
    January 1 – March 31, 2013
    Locator
    PPRRVU13_V1226_UP0.csv in rvu13ar.zip · row 14,800 of 15,619 · via CMS
    Fields read
    Status N (col 4)
    SHA-256 79b1988bb9cbab6a…
    Doesn’t establish
    A locality-adjusted allowed amount, or the payment after sequestration. National baselines use GPCI 1.000 and exclude sequestration.
    Note
    Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero.
  2. 02 Physician & Other Practitioners · CY2024—volume and who bills it limits
    Effective
    Calendar-year snapshot, on a different cycle from the Q1 2013 fee schedule
    Doesn’t establish
    Medicare Advantage, Medicaid or commercial volume.
    Note
    The dataset suppresses rows under 11 beneficiaries.

Cite this rate

CPT 93668 National PFS baseline: No national PFS rate (Q1 2013; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU13A, PPRRVU13_V1226_UP0.csv row 14,800. Localis. https://localishealth.com/cpt/93668/2013/A

Past releases are never edited, so the citation stays checkable after CMS publishes a newer one. Methodology · Plain-text summary · JSON

How has it changed? Copy link

$15.36 Office (non-facility) and $15.36 Facility since Jan 1, 2026, after a +7.9% increase in the Office (non-facility) amount. -22.4% decrease since Q1 2018; peak $19.80 in Q1 2018.

  1. Jan 1, 2026 – present

    Q1 2026

    Still in effect · 4 releases at this rate
    Office
    $15.36 (+$1.13, +7.9% increase)
    Facility
    $15.36 (+$1.13, +7.9% increase)

    Q1 2026 Jan 1, 2026 – Mar 31, 2026 · Q2 2026 Apr 1, 2026 – Jun 30, 2026 · Q3 2026 Jul 1, 2026 – Sep 30, 2026 · Q4 2026 Oct 1, 2026 – present

  2. Jan 1, 2025 – Dec 31, 2025

    Q1 2025

    4 releases at this rate
    Office
    $14.23 (−$0.42, -2.9% decrease)
    Facility
    $14.23 (−$0.42, -2.9% decrease)

    Q1 2025 Jan 1, 2025 – Mar 31, 2025 · Q2 2025 Apr 1, 2025 – Jun 30, 2025 · Q3 2025 Jul 1, 2025 – Sep 30, 2025 · Q4 2025 Oct 1, 2025 – Dec 31, 2025

  3. Mar 9, 2024 – Dec 31, 2024

    Q1 2024

    4 releases at this rate
    Office
    $14.65 (+$0.24, +1.7% increase)
    Facility
    $14.65 (+$0.24, +1.7% increase)

    Q1 2024 Mar 9, 2024 – Mar 31, 2024 · Q2 2024 Apr 1, 2024 – Jun 30, 2024 · Q3 2024 Jul 1, 2024 – Sep 30, 2024 · Q4 2024 Oct 1, 2024 – Dec 31, 2024

  4. Jan 1, 2024 – Mar 8, 2024 · Superseded revision

    Q1 2024 rev 1

    Revision 1, later corrected by CMS
    Office
    $14.41
    Facility
    $14.41
  5. Jan 1, 2023 – Dec 31, 2023

    Q1 2023

    4 releases at this rate
    Office
    $14.57 (+$0.38, +2.7% increase)
    Facility
    $14.57 (+$0.38, +2.7% increase)

    Q1 2023 Jan 1, 2023 – Mar 31, 2023 · Q2 2023 Apr 1, 2023 – Jun 30, 2023 · Q3 2023 Jul 1, 2023 – Sep 30, 2023 · Q4 2023 Oct 1, 2023 – Dec 31, 2023

  6. Jan 1, 2022 – Dec 31, 2022

    Q1 2022

    4 releases at this rate
    Office
    $14.19 (−$0.12, -0.8% decrease)
    Facility
    $14.19 (−$0.12, -0.8% decrease)

    Q1 2022 Jan 1, 2022 – Mar 31, 2022 · Q2 2022 Apr 1, 2022 – Jun 30, 2022 · Q3 2022 Jul 1, 2022 – Sep 30, 2022 · Q4 2022 Oct 1, 2022 – Dec 31, 2022

National baseline (GPCI 1.000), before sequestration.

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.

The 93668 rate last moved in Q1 2026. See its rate history.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

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Usage and related codes Copy link

In CY2024, 93668 ranked #7,061 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars.

Services
756
Allowed
$10,498
Beneficiaries
61

CY2024 Medicare fee-for-service, from the CMS Physician & Other Practitioners dataset (limits).