$77.93
Choose 93660 for cardiovascular response to positional tilt in an evaluation such as syncope workup. Choose 93015 for a complete exercise stress test.
On this page
CMS RVU26D · Effective 2026-10-01
93660 Tilt table test Medicare reimbursement rates in Connecticut
Reports monitored tilt-table evaluation of cardiovascular responses to position changes when investigating syncope, presyncope, or suspected orthostatic intolerance. Compare 93660 office and facility rates across CMS payment localities in Connecticut.
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 93660 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$178.20
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
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.
Cardiovascular testing
About 93660: Cardiovascular tilt table evaluation
Reports monitored tilt-table evaluation of cardiovascular responses to position changes when investigating syncope, presyncope, or suspected orthostatic intolerance.
A tilt-table evaluation tracks cardiovascular responses as the patient is moved from a supine position to an upright tilt. It is commonly ordered by cardiologists or clinicians evaluating syncope, recurrent presyncope, or suspected orthostatic intolerance. The study uses ECG and blood-pressure monitoring to relate changes in heart rate and pressure to the patient’s symptoms; pharmacologic provocation may be part of the evaluation. It is performed in a monitored diagnostic setting equipped for the study.
Report 93660 when the documented service is a monitored tilt evaluation, not simply an office orthostatic blood-pressure check or an exercise stress test. The record should support the indication, positions and monitoring performed, observed cardiovascular changes, symptoms, and interpretation. Bill the global service without a component modifier, or report the professional interpretation with modifier 26 and the equipment-and-staff portion with modifier TC. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Do not use modifier 50 for this single tilt evaluation. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 93660
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.84 · 37%
- Practice expense (office) RVU3.11 · 62%
- Malpractice RVU0.09 · 2%
8.7K
Medicare services in 2024 · #1548 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.
93660 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$95.63
93660 is a monitored tilt-table evaluation. 95921 reports autonomic testing focused on parasympathetic function, a different diagnostic service.
$96.60
93660 evaluates cardiovascular response during positional tilt; 95922 reports autonomic testing focused on sympathetic adrenergic function.
Compare 93660 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.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$178.20
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93660 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
12,246
- Code
- 93660
- Physician work
- 1.84
- Practice expense
- 3.11
- Malpractice
- 0.09
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.84 | × 1.020 | 1.8768 |
| Practice expense | 3.11 | × 1.077 | 3.3495 |
| Malpractice | 0.09 | × 1.210 | 0.1089 |
| Total RVUs | 5.3352 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$178.20
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.84 | 1.02 |
| Practice expense | 3.11 | 1.077 |
| Malpractice | 0.09 | 1.21 |
(1.84 × 1.02 + 3.11 × 1.077 + 0.09 × 1.21) × $33.4009 = $178.20
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
93660 billing questions
When is 93660 preferable to an exercise stress test?
Use 93660 for monitored cardiovascular response to positional tilt, such as evaluation of syncope or suspected orthostatic intolerance. Exercise stress testing evaluates response to exertion instead.
Can the ECG or blood-pressure monitoring be billed separately?
Those measurements are part of the tilt evaluation. Report the professional interpretation and technical service through the 26 and TC component options when applicable, rather than treating the monitoring as a separate service.
Which component modifier should the practice use?
Use modifier 26 for the professional interpretation and modifier TC for the technical portion involving equipment and staff. Billing without either modifier represents the global service.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the 0-day global period.
How is 93660 paid when other procedures occur in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this tilt evaluation.
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.
12,24393655,,Icar cath abltj dscrt arrhyt,A,,5.36,1.18,NA,1.18,,1.27,7.81,7.81,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24493656,,Compre ep eval abltj atr fib,A,,16.58,3.66,NA,3.66,,3.91,24.15,24.15,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24593657,,Tx l/r atrial fib addl,A,,5.36,1.18,NA,1.18,,1.27,7.81,7.81,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24693660,,Tilt table evaluation,A,,1.84,3.11,,3.11,NA,0.09,5.04,5.04,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24793660,26,Tilt table evaluation,A,,1.84,0.79,,0.79,,0.06,2.69,2.69,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24893660,TC,Tilt table evaluation,A,,0.00,2.32,,2.32,NA,0.03,2.35,2.35,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,24993662,,Intracardiac ecg (ice),C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808