Billing code 93596Medicare rate & RVUs in Oregon

Compare 93596 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20262 payment localities115 Medicare services in 2024

CMS doesn’t publish an office rate for 93596 in Oregon.

—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 93596 for the payment locality that covers the ZIP.

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

Where 93596 pays more and less in Oregon

93596 office and facility rates by payment locality
Payment localityOfficeFacility
PortlandUnavailableUnavailable
Rest Of OregonUnavailableUnavailable

How the 93596 rate is calculated

Each of 93596’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 · 93596

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 0.00Malpractice 0.00

0.0000 adjusted RVUs×$33.4009 conversion factor=$0.00

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

Payment rules and modifiers for 93596

The CMS indicators that decide how 93596 is paid alongside other services.

CMS payment indicators · 93596

Code 93596

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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

93596 without 26 · national facility

$0.00

93596-26 · Professional component

$315.64

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

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