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CPT code 93895: Carotid atheroma evaluation, intima assessment2026 Medicare rate & RVUs

Carotid intima atheroma assessment evaluates the arterial wall for thickening and plaque; Medicare assigns the service status N and does not cover it.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 93895

Carotid atheroma evaluation, intima assessment

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 93895 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 93895 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 93895 covers

Carotid intima atheroma assessment evaluates the carotid arterial wall for intimal thickening and plaque. It characterizes carotid atherosclerosis and is distinct from an extracranial carotid study, which evaluates the extracranial arteries. Vascular imaging services may include this assessment alongside other carotid imaging, but the wall and plaque findings distinguish it from an examination focused on the extracranial arteries. The service concerns carotid intima and atheroma evaluation.

Medicare assigns this CPT code status N, so Medicare does not cover the service under this code. Code 93895 identifies carotid intima and atheroma evaluation; it is not interchangeable with the extracranial studies 93880 and 93882. Those codes distinguish complete bilateral from unilateral or limited extracranial studies, respectively. Select among these codes according to the service performed.

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.

Where 93895 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93895 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

93895 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

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

View every state and territory as a table
93895 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 93895 rate is calculated

Each of 93895’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 · 93895

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 93895

The CMS indicators that decide how 93895 is paid alongside other services.

CMS payment indicators · 93895

Carotid atheroma evaluation, intima assessment

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
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/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

93895 without 26 · national facility

$0.00

Carotid atheroma evaluation, intima assessment

93895-26 · Professional component

$0.00

Pays only the interpretation and report.

When to use modifier 26

93895 compared with similar codes

Compare codes · National

93895 vs 93880 vs 93882: Medicare rates

Office or facility?

  • 93895

    Carotid atheroma evaluation, intima assessment0 wRVU

    Not priced

  • 93880

    Carotid duplex, complete bilateral extracranial study0.78 wRVU

    $189.05

  • 93882

    Carotid duplex, unilateral or limited study0.49 wRVU

    $123.92

How to choose

93880Carotid duplexComplete bilateral extracranial study
Use 93895 for carotid intima and atheroma evaluation. Use 93880 for a complete bilateral extracranial study.
93882Carotid duplexUnilateral or limited study
Use 93895 for carotid intima and atheroma evaluation. Use 93882 for a unilateral or limited extracranial study.

Codes related to 93895

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 93895
CodeHow it relatesNational office range
Used instead
93880Carotid duplex, complete bilateral extracranial studyIdentifies a complete bilateral extracranial study rather than carotid intima and atheroma evaluation.$164.92–$260.93
93882Carotid duplex, unilateral or limited studyIdentifies a unilateral or limited extracranial study rather than carotid intima and atheroma evaluation.$107.83–$170.83

93895 billing questions

What service does 93895 identify?

It identifies evaluation of the carotid intima and atheroma.

How does 93895 differ from 93880?

93895 identifies carotid intima and atheroma evaluation. 93880 identifies a complete bilateral extracranial study.

How does 93895 differ from 93882?

93895 identifies carotid intima and atheroma evaluation. 93882 identifies a unilateral or limited extracranial study.

Does Medicare cover 93895?

No. Medicare assigns the code status N, meaning the service is not covered.

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

Open CMS sourceHow we calculate rates

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