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CMS RVU26D · Effective 2026-10-01

93793 Warfarin management Medicare reimbursement rates

Warfarin management after a new INR result includes interpreting the result, addressing the dose, instructing the patient, and scheduling further testing. Compare 93793 office and facility rates across CMS payment localities.

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

What does Medicare pay for 93793?

The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.

Office / nonfacility

$10.77–$14.89

109 of 109 localities have a supported rate.

Lowest: Arkansas

Highest: Alaska*

A spread of $4.12 per service.

Facility setting

No supported rate

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 93793 in your payment locality →

Where 93793 pays more and less

109 payment localities

$10.77 to $14.89

$10.77$12.83$14.89
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Cardiovascular medicine

About 93793: Warfarin anticoagulation management with INR review

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

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.

CMS billing rules for 93793

Professional and technical components
Professional-component-only code: interpretation and report; a separate code covers the technical portion.

Where the value comes from

  • Work RVU0.18 · 51%
  • Practice expense (office) RVU0.16 · 46%
  • Malpractice RVU0.01 · 3%

1.3M

Medicare services in 2024 · #126 by national volume

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.

93793 compared with similar codes

Office rate ranges across all CMS payment localities, from the same CMS release.

93792

INR training

Home monitor initiation

$61.92–$103.61

93792 covers training a patient or caregiver to perform and report home INR tests. Use 93793 for subsequent warfarin management based on a new INR result, not for the training itself.

G0250

Md inr test revie inter mgmt

No office rate

G0250 describes Medicare-covered management associated with home INR testing for eligible patients and is reported per four tests. 93793 describes management following a new home, office, or laboratory INR result and is reported once per day.

99211

Office visit

Established patient, minimal E/M

$21.68–$32.86

99211 describes a brief established-patient E/M visit when its requirements are met. When the work consists of the complete INR review, warfarin dosing decision, patient instructions, and further testing plan, 93793 describes that work.

85610

Prothrombin time

No office rate

85610 describes the prothrombin time/INR test. 93793 describes the professional interpretation and warfarin management following a new result; the testing and management are distinct services.

See how rates vary across the country

93793 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$10.77

$14.89

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

View all state and territory rates as a table
State / territoryRate 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

Compare 93793 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

109 of 109 payment localities

93793 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama

Office

$10.88

Facility

Unavailable
Alaska*

Office

$14.89

Facility

Unavailable
Arizona

Office

$11.48

Facility

Unavailable
Arkansas

Office

$10.77

Facility

Unavailable
Atlanta

Office

$11.86

Facility

Unavailable
Austin

Office

$11.97

Facility

Unavailable
Bakersfield

Office

$12.19

Facility

Unavailable
Baltimore/Surr. Cntys

Office

$12.26

Facility

Unavailable
Beaumont

Office

$11.19

Facility

Unavailable
Brazoria

Office

$11.62

Facility

Unavailable
Chicago

Office

$12.19

Facility

Unavailable
Chico

Office

$12.15

Facility

Unavailable
Colorado

Office

$12.03

Facility

Unavailable
Connecticut

Office

$12.29

Facility

Unavailable
Dallas

Office

$11.68

Facility

Unavailable
Dc + Md/Va Suburbs

Office

$13.00

Facility

Unavailable
Delaware

Office

$11.62

Facility

Unavailable
Detroit

Office

$11.73

Facility

Unavailable
East St. Louis

Office

$11.60

Facility

Unavailable
El Centro

Office

$12.15

Facility

Unavailable
Fort Lauderdale

Office

$12.03

Facility

Unavailable
Fort Worth

Office

$11.63

Facility

Unavailable
Fresno

Office

$12.15

Facility

Unavailable
Galveston

Office

$11.64

Facility

Unavailable
Hanford-Corcoran

Office

$12.15

Facility

Unavailable
Hawaii, Guam

Office

$12.28

Facility

Unavailable
Houston

Office

$11.83

Facility

Unavailable
Idaho

Office

$11.09

Facility

Unavailable
Indiana

Office

$11.13

Facility

Unavailable
Iowa

Office

$11.03

Facility

Unavailable
Kansas

Office

$11.01

Facility

Unavailable
Kentucky

Office

$11.07

Facility

Unavailable
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

Office

$12.80

Facility

Unavailable
Madera

Office

$12.15

Facility

Unavailable
Manhattan

Office

$13.14

Facility

Unavailable
Merced

Office

$12.15

Facility

Unavailable
Metropolitan Boston

Office

$12.94

Facility

Unavailable
Metropolitan Kansas City

Office

$11.36

Facility

Unavailable
Metropolitan Philadelphia

Office

$12.08

Facility

Unavailable
Metropolitan St. Louis

Office

$11.43

Facility

Unavailable
Miami

Office

$12.42

Facility

Unavailable
Minnesota

Office

$11.61

Facility

Unavailable
Mississippi

Office

$10.86

Facility

Unavailable
Modesto

Office

$12.15

Facility

Unavailable
Montana**

Office

$11.69

Facility

Unavailable
Napa

Office

$13.60

Facility

Unavailable
Nebraska

Office

$11.07

Facility

Unavailable
Nevada**

Office

$11.64

Facility

Unavailable
New Hampshire

Office

$11.87

Facility

Unavailable
New Mexico

Office

$11.31

Facility

Unavailable
New Orleans

Office

$11.42

Facility

Unavailable
North Carolina

Office

$11.21

Facility

Unavailable
North Dakota**

Office

$11.49

Facility

Unavailable
Northern Nj

Office

$12.95

Facility

Unavailable
Nyc Suburbs/Long Island

Office

$13.37

Facility

Unavailable
Ohio

Office

$11.23

Facility

Unavailable
Oklahoma

Office

$11.04

Facility

Unavailable
Oxnard-Thousand Oaks-Ventura

Office

$12.71

Facility

Unavailable
Portland

Office

$12.29

Facility

Unavailable
Poughkpsie/N Nyc Suburbs

Office

$12.54

Facility

Unavailable
Puerto Rico

Office

$11.74

Facility

Unavailable
Queens

Office

$13.20

Facility

Unavailable
Redding

Office

$12.15

Facility

Unavailable
Rest Of California

Office

$12.15

Facility

Unavailable
Rest Of Florida

Office

$11.62

Facility

Unavailable
Rest Of Georgia

Office

$11.18

Facility

Unavailable
Rest Of Illinois

Office

$11.41

Facility

Unavailable
Rest Of Louisiana

Office

$11.06

Facility

Unavailable
Rest Of Maine

Office

$11.14

Facility

Unavailable
Rest Of Maryland

Office

$11.79

Facility

Unavailable
Rest Of Massachusetts

Office

$12.00

Facility

Unavailable
Rest Of Michigan

Office

$11.27

Facility

Unavailable
Rest Of Missouri

Office

$10.94

Facility

Unavailable
Rest Of New Jersey

Office

$12.45

Facility

Unavailable
Rest Of New York

Office

$11.32

Facility

Unavailable
Rest Of Oregon

Office

$11.57

Facility

Unavailable
Rest Of Pennsylvania

Office

$11.23

Facility

Unavailable
Rest Of Texas

Office

$11.39

Facility

Unavailable
Rest Of Washington

Office

$11.97

Facility

Unavailable
Rhode Island

Office

$11.94

Facility

Unavailable
Riverside-San Bernardino-Ontario

Office

$12.26

Facility

Unavailable
Sacramento-Roseville-Folsom

Office

$12.62

Facility

Unavailable
Salinas

Office

$12.57

Facility

Unavailable
San Diego-Chula Vista-Carlsbad

Office

$12.77

Facility

Unavailable
San Francisco-Oakland-Berkeley (Marin Cnty)

Office

$14.27

Facility

Unavailable
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

Office

$14.26

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

Office

$14.56

Facility

Unavailable
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

Office

$14.51

Facility

Unavailable
San Luis Obispo-Paso Robles

Office

$12.38

Facility

Unavailable
Santa Cruz-Watsonville

Office

$12.81

Facility

Unavailable
Santa Maria-Santa Barbara

Office

$12.59

Facility

Unavailable
Santa Rosa-Petaluma

Office

$12.93

Facility

Unavailable
Seattle (King Cnty)

Office

$13.14

Facility

Unavailable
South Carolina

Office

$11.23

Facility

Unavailable
South Dakota**

Office

$11.47

Facility

Unavailable
Southern Maine

Office

$11.52

Facility

Unavailable
Stockton

Office

$12.15

Facility

Unavailable
Suburban Chicago

Office

$12.13

Facility

Unavailable
Tennessee

Office

$11.05

Facility

Unavailable
Utah

Office

$11.34

Facility

Unavailable
Vallejo

Office

$13.59

Facility

Unavailable
Vermont

Office

$11.47

Facility

Unavailable
Virgin Islands

Office

$11.74

Facility

Unavailable
Virginia

Office

$11.50

Facility

Unavailable
Visalia

Office

$12.15

Facility

Unavailable
West Virginia

Office

$11.13

Facility

Unavailable
Wisconsin

Office

$11.23

Facility

Unavailable
Wyoming**

Office

$11.60

Facility

Unavailable
Yuba City

Office

$12.15

Facility

Unavailable

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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 93793PPRRVU2026_Oct_nonQPP.csv, line 12,269 (RVU26D)