$76.06–$86.24
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.
On this page
CMS RVU26D · Effective 2026-10-01
93793 Warfarin management Medicare reimbursement rates in Massachusetts
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 in Massachusetts.
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 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$12.00–$12.94
2 of 2 localities have a supported rate.
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 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 rates for Massachusetts, from the same CMS release.
G0250
No office rateMd inr test revie inter mgmt
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.
$25.37–$28.09
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
No office rateProthrombin time
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.
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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$12.94
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$12.00
Facility
Unavailable
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.
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.
12,26693788,,Ambl bp mntr w/sw a/r,A,,0.00,0.17,,0.17,NA,0.01,0.18,0.18,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,26793790,,Ambl bp mntr w/sw i&r,A,,0.37,0.16,,0.16,,0.01,0.54,0.54,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,26893792,,Pt/caregiver traing home inr,A,,0.00,2.14,,2.14,NA,0.03,2.17,2.17,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,26993793,,Anticoag mgmt pt warfarin,A,,0.18,0.16,,0.16,NA,0.01,0.35,0.35,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,27093797,,Phys/qhp op car rhab wo ecg,A,,0.18,0.34,,0.04,,0.01,0.53,0.23,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,27193798,,Phys/qhp op car rhab w/ecg,A,,0.28,0.48,,0.06,,0.02,0.78,0.36,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,27293799,,Unlisted cv svc/procedure,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00