Billing code 93926Medicare rate & RVUs in Delaware

Compare 93926 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20261 payment locality216.2K Medicare services in 2024

CMS doesn’t publish an office rate for 93926 in Delaware.

—Office (non-facility)
—Hospital or facility

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 93926 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Delaware
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

93926 in Delaware

93926 office and facility rates by payment locality
Payment localityOfficeFacility
DelawareUnavailableUnavailable

How the 93926 rate is calculated

Each of 93926’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 · 93926

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.49Practice expense 3.62Malpractice 0.08

4.1900 adjusted RVUs×$33.4009 conversion factor=$139.95

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 93926

The CMS indicators that decide how 93926 is paid alongside other services.

CMS payment indicators · 93926

Code 93926

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

93926 without 26 · national office

$139.95

93926-26 · Professional component

$22.38

Pays only the interpretation and report.

When to use modifier 26

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

Fee sheets

Put 93926 and the rest of your codes on one sheet

Current Medicare rates for every code you bill at your locality, with what changed since last quarter.

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