Billing code 93790: Blood pressure monitoringMedicare rate & RVUs in Texas
Physician interpretation of ambulatory blood pressure recordings is reported when the clinician reviews the monitoring data and provides a written clinical assessment.
Medicare pays $17.53–$18.33 for 93790 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 93790 covers
This service covers a physician’s review of ambulatory blood pressure monitoring data, interpretation of the recorded readings, and preparation of a report. The monitoring device collects readings over an extended period during the patient’s usual activities and sleep. A clinician may use the results when evaluating suspected white-coat or masked hypertension, or assessing blood pressure patterns outside the office. The physician interprets the recorded information; device setup and data capture are technical work.
Report 93790 for the professional review and interpretation, supported by the monitoring results and a dated report documenting the findings. CMS classifies this as a professional-component-only code, so the technical portion is reported separately under the applicable technical service code. The code represents the interpretation and report, not the complete device-based monitoring service. The clinical record should make clear that the physician reviewed and interpreted the ambulatory readings rather than merely receiving or processing the data.
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.
Where 93790 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$17.53 to $18.33
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $18.33 | $18.33 |
| Beaumont | $17.53 | $17.53 |
| Brazoria | $18.01 | $18.01 |
| Dallas | $18.08 | $18.08 |
| Fort Worth | $18.03 | $18.03 |
| Galveston | $18.04 | $18.04 |
| Houston | $18.22 | $18.22 |
| Rest Of Texas | $17.73 | $17.73 |
How the 93790 rate is calculated
Each of 93790’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 · 93790
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.37Practice expense 0.16Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93790
The CMS indicators that decide how 93790 is paid alongside other services.
CMS payment indicators · 93790
Blood pressure monitoring
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 2 | Professional component only. |
93790 compared with similar codes
Compare codes
93790 vs 93784 vs 93786 vs 93788: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93784Blood pressure monitoring
- Choose 93784 when reporting the complete monitoring service, including recording, analysis, interpretation, and report. Choose 93790 for the physician’s interpretation and report as a separate professional service.
- 93786Blood pressure monitoring
- 93786 covers recording only. It does not represent the physician’s review and interpretation reported with 93790.
- 93788Blood pressure monitoring
- 93788 covers technical scanning analysis and reporting of the recorded data; 93790 represents the physician’s clinical review, interpretation, and report.
93790 billing questions
How does 93790 differ from 93784?
93790 represents physician review, interpretation, and reporting. 93784 represents the complete ambulatory monitoring service, including technical work as well as interpretation and reporting.
Is the technical service reported separately?
Yes. CMS identifies 93790 as professional-component-only; the technical portion is reported under a separate code when furnished.
Should modifier 26 be appended?
No. 93790 already represents the professional interpretation and report rather than a global service requiring professional-component identification.
Does 93790 cover device recording or data scanning?
No. It covers physician review, interpretation, and the report. Recording and technical data processing are represented by separate technical services.
What documentation supports reporting 93790?
Keep the ambulatory readings and a physician report documenting review, interpretation, and findings. The record should distinguish interpretation from device setup or data processing.
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
Show the CMS file lines behind this rate
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