CPT code 93895: Carotid atheroma evaluation, intima assessment2026 Medicare rate & RVUs in New York
Carotid intima atheroma assessment evaluates the arterial wall for thickening and plaque; Medicare assigns the service status N and does not cover it.
CMS doesn’t publish an office rate for 93895 in New York.
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
On this page 9 sections
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 in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | Unavailable | Unavailable |
| NYC suburbs and Long Island, NY | Unavailable | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | Unavailable | Unavailable |
| Queens, NY | Unavailable | Unavailable |
| Rest of New York | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic 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.
93895 compared with similar codes
Compare codes · National
93895 vs 93880 vs 93882: Medicare rates
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.
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
Fee sheets · Coming soon
Put 93895 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist