CPT code 93793: Warfarin management, INR review and patient instructions2026 Medicare rate & RVUs in Ohio

Warfarin management after a new INR result includes interpreting the result, addressing the dose, instructing the patient, and scheduling further testing.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3M Medicare services in 2024

In Ohio, Medicare pays $11.23 for 93793 in the office.

$11.23Office (non-facility)
Not available in this settingHospital or facility
−3.9%vs the national office rate ($11.69)

Check a contract rate as a % of Medicare · 93793 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93793 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 93793 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 93793 covers

This service covers management of a patient taking warfarin after a new INR result from home monitoring, an office test, or a laboratory test. A physician or other qualified health care professional reviews and interprets the result, determines whether the warfarin dose should change, ensures the patient receives instructions, and arranges further INR testing. Clinical staff, including anticoagulation clinic nurses, may help communicate and carry out the plan under the billing professional's direction. Patients commonly include those treated for atrial fibrillation, venous thromboembolism, or a mechanical heart valve; the work may occur without an in-person visit.

Report 93793 once per day when the required management is performed, rather than once for each INR value reviewed. Document the new result and its source, the interpretation and dosing decision, patient instructions, and the plan for further testing. CMS designates 93793 as professional-component-only: it represents interpretation and management, while INR testing is a separate service. Do not use an E/M visit code merely to duplicate the same INR review and dosing work.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Ohio compares for 93793

Across 109 of 109 payment localities, the office rate for 93793 runs from $10.77 in Arkansas to $14.89 in Alaska. Ohio pays $11.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

93793 in Ohio vs other payment areas
  1. Ohio · this page$11.23
  2. Los Angeles, CA · California$12.80+$1.57
  3. Washington, DC area · District of Columbia$13.00+$1.77
  4. Miami, FL · Florida$12.42+$1.19
  5. Chicago, IL · Illinois$12.19+$0.96
  6. Manhattan, NY · New York$13.14+$1.91
  7. Alaska · Alaska$14.89+$3.66

Other areas in Ohio first, then benchmark localities. Bars start at $0.

Every other payment area

93793 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$10.88—
ArkansasArkansas$10.77—
ArizonaArizona$11.48—
Bakersfield, CACalifornia$12.19—
Chico, CACalifornia$12.15—
El Centro, CACalifornia$12.15—
Fresno, CACalifornia$12.15—
Hanford, CACalifornia$12.15—

93793 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$10.77

$14.89

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
93793 office rate range by state
State / territoryOffice rate rangeLocalities
AK$14.891
AL$10.881
AR$10.771
AZ$11.481
CA$12.15–$14.5629
CO$12.031
CT$12.291
DC$13.001
DE$11.621
FL$11.62–$12.423
GA$11.18–$11.862
GU$12.281
HI$12.281
IA$11.031
ID$11.091
IL$11.41–$12.194
IN$11.131
KS$11.011
KY$11.071
LA$11.06–$11.422
MA$12.00–$12.942
MD$11.79–$13.003
ME$11.14–$11.522
MI$11.27–$11.732
MN$11.611
MO$10.94–$11.433
MS$10.861
MT$11.691
NC$11.211
ND$11.491
NE$11.071
NH$11.871
NJ$12.45–$12.952
NM$11.311
NV$11.641
NY$11.32–$13.375
OH$11.231
OK$11.041
OR$11.57–$12.292
PA$11.23–$12.082
PR$11.741
RI$11.941
SC$11.231
SD$11.471
TN$11.051
TX$11.19–$11.978
UT$11.341
VA$11.50–$13.002
VI$11.741
VT$11.471
WA$11.97–$13.142
WI$11.231
WV$11.131
WY$11.601

See 93793 in every payment locality

How the 93793 rate is calculated

Each of 93793’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 93793

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.18

0.18 RVUs× 1.000 GPCI

Practice expense0.16

0.16 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.3500

Conversion factor

$33.4009

Medicare rate

$11.69

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,269

Code
93793
Physician work
0.18
Practice expense
0.16
Malpractice
0.01

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 93793 in Ohio
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0000.1800
Practice expense0.16× 0.9130.1461
Malpractice0.01× 1.0080.0101
Total RVUs0.3362
Conversion factor× 33.4009

Office rate, Ohio$11.23

Office: (0.18 × 1 + 0.16 × 0.913 + 0.01 × 1.008) × $33.4009 = $11.23

Open 93793 in the RVU calculator

Payment rules and modifiers for 93793

The CMS indicators that decide how 93793 is paid alongside other services.

CMS payment indicators · 93793

Warfarin management, INR review and patient instructions

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical2Professional component only.

How 93793 has changed in Ohio

93793 · Office / nonfacility

$11.23

Effective 2026-10-01

The base rate is $0.65 higher than on 2025-10-01, moving from $10.58 to $11.23 (6.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $10.58changed to$11.23

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.15 changed to 0.16
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $10.88changed to$10.58

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $10.71changed to$10.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $11.10changed to$10.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033
  5. January 1, 2023

    RVU23A

    $11.03changed to$11.10

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.14 changed to 0.15
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $11.12changed to$11.03

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $11.50changed to$11.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $11.81changed to$11.50

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.15 changed to 0.14
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $11.79changed to$11.81

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    No ratechanged to$11.79

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$11.23Not available in this settingRVU26D
2026-07-01$11.23Not available in this settingRVU26C
2026-04-01$11.23Not available in this settingRVU26B
2026-01-01$11.23Not available in this settingRVU26A
2025-10-01$10.58Not available in this settingRVU25D
2025-07-01$10.58Not available in this settingRVU25C
2025-04-01$10.58Not available in this settingRVU25B
2025-01-01$10.58Not available in this settingRVU25A
2024-10-01$10.88Not available in this settingRVU24D
2024-07-01$10.88Not available in this settingRVU24C
2024-04-01$10.88Not available in this settingRVU24B
2024-03-09$10.88Not available in this settingRVU24AR
2024-01-01$10.71Not available in this settingRVU24A
2023-10-01$11.10Not available in this settingRVU23D
2023-07-01$11.10Not available in this settingRVU23C
2023-04-01$11.10Not available in this settingRVU23B
2023-01-01$11.10Not available in this settingRVU23A
2022-10-01$11.03Not available in this settingRVU22D
2022-07-01$11.03Not available in this settingRVU22C
2022-04-01$11.03Not available in this settingRVU22B
2022-01-01$11.03Not available in this settingRVU22A
2021-10-01$11.12Not available in this settingRVU21D
2021-07-01$11.12Not available in this settingRVU21C
2021-04-01$11.12Not available in this settingRVU21B
2021-01-01$11.12Not available in this settingRVU21A
2020-10-01$11.50Not available in this settingRVU20D
2020-07-01$11.50Not available in this settingRVU20C
2020-04-01$11.50Not available in this settingRVU20B
2020-01-01$11.50Not available in this settingRVU20A
2019-10-01$11.81Not available in this settingRVU19D
2019-07-01$11.81Not available in this settingRVU19C
2019-04-01$11.81Not available in this settingRVU19B
2019-01-01$11.81Not available in this settingRVU19A
2018-10-01$11.79Not available in this settingRVU18D
2018-07-01$11.79Not available in this settingRVU18C
2018-04-01$11.79Not available in this settingRVU18B
2018-01-01$11.79Not available in this settingRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 93793 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

93793 billing questions

Can 93793 be billed more than once in a day if several INR results are reviewed?

No. Report it once per day when the required warfarin management is performed, not once for each result.

Does 93793 include the INR test itself?

No. For a laboratory or office prothrombin time/INR test, 85610 describes the testing service when it is separately reportable. Do not assume specimen collection warrants an additional charge.

Can 93793 be reported on the same day as home INR monitor training?

Do not report 93793 with 93792 on the same date. Code 93792 describes training the patient or caregiver to perform and report home INR testing; it is not the code for ongoing result review and warfarin management.

Who is responsible for the management billed under 93793?

A physician or other qualified health care professional performs the professional review and management. Clinical staff may help obtain results and convey instructions under that professional's direction.

Must the patient be seen in person?

No. Instructions may be conveyed by phone after a new home or laboratory INR result, provided the record supports the interpretation, dosing decision, patient instructions, and further testing plan.

Should modifier 26 or a same-day E/M code be added?

Do not append modifier 26; CMS already designates 93793 as professional-component-only. Do not report an E/M service for the same INR review and dosing work; a distinct E/M service requires separate supporting documentation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 93793PPRRVU2026_Oct_nonQPP.csv, line 12,269 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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