On this page

CMS RVU26D · Effective 2026-10-01

93788 Blood pressure monitoring Medicare reimbursement rates in Illinois

Reports software-assisted analysis of ambulatory blood pressure readings, including review of the recorded data and preparation of a technical report. Compare 93788 office and facility rates across CMS payment localities in Illinois.

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 93788 in Illinois?

Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.

Office / nonfacility

$5.71–$6.47

4 of 4 localities have a supported rate.

Lowest: Rest Of Illinois

Highest: Chicago

A spread of $0.76 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 93788 in your payment locality →

Where 93788 pays more and less in Illinois

4 payment localities

$5.71 to $6.47

$5.71$6.09$6.47
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Cardiovascular diagnostic

About 93788: Ambulatory blood pressure data analysis

Reports software-assisted analysis of ambulatory blood pressure readings, including review of the recorded data and preparation of a technical report.

Code 93788 represents the technical analysis of readings collected during ambulatory blood pressure monitoring, followed by preparation of an analysis report. A portable cuff records blood pressure readings over an extended period, commonly to evaluate suspected white-coat or masked hypertension or variable blood pressure. Staff or a qualified professional processes the stored readings with monitoring software; the service is typically performed in an outpatient setting after the patient returns the monitor. The code covers analysis and reporting, not the separate physician interpretation.

Report 93788 when the recorded data are scanned or analyzed and the technical report is produced. The record should support that monitoring data were available and that analysis and reporting were completed. Medicare treats 93788 as a technical-component-only service; the physician’s interpretation and report are represented separately by 93790. When multiple cardiovascular diagnostic procedures are reported, Medicare’s diagnostic multiple-procedure reduction applies to the technical component. If the complete monitoring service is billed under 93784, use that code’s scope rather than separately reporting overlapping components.

CMS billing rules for 93788

Professional and technical components
Technical-component-only code: a separate code covers interpretation.
Multiple procedures
Cardiovascular diagnostic multiple procedure reduction applies to the technical component.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU0.17 · 94%
  • Malpractice RVU0.01 · 6%

293

Medicare services in 2024 · #4012 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.

93788 compared with similar codes

Office rates for Illinois, from the same CMS release.

93786

Blood pressure monitoring

Recording only

$21.87–$24.60

Use 93786 for recording only. Use 93788 when the stored ambulatory readings are analyzed and a technical report is prepared.

93790

Blood pressure monitoring

Physician review and report

$17.76–$18.58

93790 reports the physician’s interpretation and report; 93788 covers the technical analysis and report.

93784

Blood pressure monitoring

Complete service

$45.33–$49.55

93784 represents the complete monitoring service, including recording, analysis, interpretation, and reporting. 93788 describes only its technical analysis portion.

Compare 93788 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.

4 of 4 payment localities

Office and facility base rates · shared scale starting at $0

Need rates for a whole code list?

Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.

Explore fee-sheet early access →

93788 billing questions

How does 93788 differ from 93786?

93786 represents recording only. Use 93788 for the software-assisted analysis of recorded readings and preparation of the analysis report.

Is the physician’s interpretation included in 93788?

No. Medicare identifies 93788 as technical-component-only; the separate interpretation and report are represented by 93790.

Can 93788 and 93790 be reported for the same monitoring service?

Yes, when the technical analysis and the physician’s interpretation are both performed and documented. The codes represent distinct portions of the ambulatory monitoring service.

When should the complete-service code 93784 be considered?

93784 represents the complete ambulatory blood pressure monitoring service, including recording, analysis, interpretation, and reporting. Do not separately report overlapping portions when billing the complete service.

What documentation supports 93788?

Keep evidence that ambulatory readings were collected, software-assisted analysis was completed, and a technical report was prepared. The physician’s interpretation should be documented separately when reported.

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 93788PPRRVU2026_Oct_nonQPP.csv, line 12,266 (RVU26D)