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CPT 93740

Bundled / not separately paid

93740 · PFS Q3 2021 · Historical

Status B is not separately payable under the PFS.

View applicable payment rules
View CMS source and method

CMS RVU21CJuly 1 – September 30, 2021

CPT 93740 has no published national rate. It carries status B (bundled) in the Q3 2021 release. Medicare folds payment for this code into the service it is incident to, never onto its own line. The blank amount means unpriced, not $0.

PFS status evidence

Physician relative value file (Q3 2021) · rvu21c-updated-6302021.zip (PPRRVU21_JUL.csv row 16,516)
Inspect PFS status evidence
Code
93740
Release
Q3 2021, revision 1
Result
Bundled / not separately paid

Citations

Every input comes from a published CMS file. Open the same file at the row shown and the values match.

  • Shows this code’s PFS status (B). Result: Bundled / not separately paid.

    Physician relative value file (PPRRVU)CMS RVU21CJuly 1 – September 30, 2021

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

    PPRRVU21_JUL.csv row 16,516 in rvu21c-updated-6302021.zip

    A HCPCS
    93740
    B Modifier
    blank
    D Status code
    B
    In the CMS file

    Loading rows 16,514–16,518 of PPRRVU21_JUL.csv…

    Download rvu21c-updated-6302021.zip from CMS File fingerprint ee14b5306942acfe4554d2d7cf3fe95d7b1a0f41fc7a0445bc2d06df857dd7b6

Plain-text summary

Why is there no national PFS amount for 93740?

Its status indicator is B (bundled). Medicare folds payment for this code into the service it is incident to, never onto its own line. Status B is not separately payable under the PFS.

Payment considerations Copy link

Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.

Other payment indicators (10)

Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, NCCI same-day edits: Not determined, MUE behavior: Not determined, Other fee-schedule routing: Does not apply, Contractor pricing: Does not apply.

Why would a Medicare claim for 93740 be denied or paid less?

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

  • Its status indicator is B (bundled)—Medicare folds payment for this code into the service it is incident to, never onto its own line. 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.

Which billing rules and modifiers apply? Copy link

Global period: what 93740's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Can you bill it with another code? Copy link

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 93740 →

How has it changed? Copy link

Rate history by release Copy link

National Office (non-facility) amount for 93740 across quarterly releases.

Release Status Office Facility
Q4 2026 Oct 1, 2026 – present B — —
Q3 2026 Jul 1, 2026 – Sep 30, 2026 B — —
Q2 2026 Apr 1, 2026 – Jun 30, 2026 B — —
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.

Usage and related codes Copy link

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Source & method

Show sources

This page uses CMS's Medicare Physician Fee Schedule Q3 2021 release (effective July 2021). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.

Physician relative value file (Q3 2021) · rvu21c-updated-6302021.zip (PPRRVU21_JUL.csv row 16,516)

Cite this rate

The citation names the release, so anyone can check it even after CMS publishes a newer one.

CPT 93740 National PFS baseline: No national PFS rate (Q3 2021; participating; whole service; GPCI 1.000; sequestration excluded). CMS RVU21C, PPRRVU21_JUL.csv row 16,516. Localis. https://localishealth.com/cpt/93740/2021/C