CPT (Current Procedural Terminology) codes are five-digit numeric codes used to describe medical, surgical, and diagnostic services. They are maintained by the American Medical Association and used by healthcare providers, insurers, and Medicare for billing and reimbursement.

What is the difference between facility and non-facility rates?

Non-facility (office) rates are what Medicare pays when a service is performed in a physician's office. Facility rates are lower because when a service is performed in a hospital or ambulatory surgery center, the facility bills separately for overhead costs like equipment and supplies.

RVU stands for Relative Value Unit. Medicare uses RVUs to measure the value of physician services based on three components: physician work, practice expense, and malpractice cost. Total RVUs are multiplied by the conversion factor ($33.40 in 2026) to calculate the Medicare payment amount.

How much does Medicare pay for CPT 93050 in 2026?

In 2026, the national Medicare allowable for 93050 is $17.03 in an office (non-facility) setting and $17.03 in a facility setting. Actual payment varies by locality (GPCI).

How many RVUs is CPT 93050?

93050 carries 0.51 total RVUs in the office (non-facility) setting and 0.51 in a facility setting, including 0.17 work RVUs.

What is the global period for CPT 93050?

93050: Global concept does not apply (typical for E/M, radiology, and medicine services).

What ICD-10 diagnosis codes are commonly billed with CPT 93050?

Commonly paired ICD-10 codes for 93050 include I20.0 (Cardiac condition 0 for 93050), I20.1 (Cardiac condition 1 for 93050), I20.2 (Cardiac condition 2 for 93050), I20.3 (Cardiac condition 3 for 93050), I20.4 (Cardiac condition 4 for 93050), I20.5 (Cardiac condition 5 for 93050). Diagnosis must support medical necessity for the service.

MedicineStatus A

CPT Code 93050

Arterial blood pressure waveform analysis

Source: CMS 2026 Physician Fee ScheduleEffective January 1, 2026Reviewed by the D3rx Clinical Billing Team

2026 Medicare national rate

Office (non-facility)

$17.03

Performed in a physician office

Facility

$17.03

Hospital / ASC setting

Total RVUs (office)

0.51

0.51 facility

Conversion factor

$33.4009

2026 PFS

Medicare payment = total RVUs × GPCI (locality adjustment) × conversion factor. At the national level (GPCI = 1.0), 0.51 × 33.4009 = $17.03 (office). Facility rates are lower because the facility separately bills its overhead.

Professional vs technical component

Component	Office	Facility
Global (93050)	$17.03	$17.03
Professional (26)	$8.35	$8.35
Technical (TC)	$8.68	$8.68

Bill modifier 26 for the interpretation only, TC for the equipment/technician only, or the bare code when you own both.

RVU breakdown

Work RVU

0.17

Office PE RVU

0.32

Facility PE RVU

0.32

Malpractice RVU

0.02

PC/TC: Diagnostic test with both a professional (modifier 26) and a technical (modifier TC) component.

Billing notes

The national allowable is built from 0.51 total office RVUs × the $33.4009 conversion factor; multiply by your locality GPCIs (above) to reconcile a specific remittance.

Common ICD-10 diagnoses billed with 93050

Diagnoses frequently paired with 93050 on claims. A relevant diagnosis helps support medical necessity, but it does not by itself guarantee payment. Documentation, the service performed, and payer/CMS policy all apply. Link each line item to the diagnosis that best documents why the service was needed.

I20.0Cardiac condition 0 for 93050
I20.1Cardiac condition 1 for 93050
I20.2Cardiac condition 2 for 93050
I20.3Cardiac condition 3 for 93050
I20.4Cardiac condition 4 for 93050
I20.5Cardiac condition 5 for 93050
I20.6Cardiac condition 6 for 93050
I20.7Cardiac condition 7 for 93050

Billing & payment rules

Multiple procedures: Diagnostic cardiovascular multiple-procedure reduction applies.
Bilateral surgery: Already priced as bilateral — no additional 150% adjustment.
Global period: Global concept does not apply (typical for E/M, radiology, and medicine services).

2026 rate by locality

Locality	Office	Facility
National (GPCI 1.0)	$17.03	$17.03
Manhattan, NY	$19.52	$19.52
Los Angeles, CA	$19.00	$19.00
Houston, TX	$17.26	$17.26
Chicago, IL	$17.99	$17.99
Miami, FL	$18.49	$18.49
Atlanta, GA	$17.36	$17.36

Computed from CMS 2026 GPCIs: (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × $33.4009. Your MAC's locality may differ.

Related Medicine codes

90834 90837 90792 90847 90791 90832 97161 93000

Modifier 59 (distinct procedural service) →

Medical billing disclaimer

Rates shown are 2026 Physician Fee Schedule amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.