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.
On this page
CMS RVU26D · Effective 2026-10-01
93790 Blood pressure monitoring Medicare reimbursement rates in Virginia
Physician interpretation of ambulatory blood pressure recordings is reported when the clinician reviews the monitoring data and provides a written clinical assessment. Compare 93790 office and facility rates across CMS payment localities in Virginia.
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 93790 in Virginia?
Virginia 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
$17.85–$19.69
2 of 2 localities have a supported rate.
Facility setting
$17.85–$19.69
2 of 2 localities have a 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 testing
About 93790: Ambulatory blood pressure interpretation
Physician interpretation of ambulatory blood pressure recordings is reported when the clinician reviews the monitoring data and provides a written clinical assessment.
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.
CMS billing rules for 93790
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.37 · 69%
- Practice expense (office) RVU0.16 · 30%
- Malpractice RVU0.01 · 2%
8.6K
Medicare services in 2024 · #1556 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.
93790 compared with similar codes
Office rates for Virginia, from the same CMS release.
93786 covers recording only. It does not represent the physician’s review and interpretation reported with 93790.
93788 covers technical scanning analysis and reporting of the recorded data; 93790 represents the physician’s clinical review, interpretation, and report.
Compare 93790 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
Dc + Md/Va Suburbs →
Office / nonfacility
$19.69
Facility
$19.69
Virginia →
Office / nonfacility
$17.85
Facility
$17.85
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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 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.
