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See a sample rate comparisonCPT 93790 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.04 national non-facility rate (2026) · View Medicare rates for 93790 |
| Medicaid Fee Schedule | $15.84 median of the 8 states in the free preview · View Medicaid rates for 93790 |
National average reimbursement for CPT 93790 by major payers:
$26.35
$24.31
$26.22
$30.63
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CPT 93790
5 of 25 sample ratesHigher to lower in this preview
Haidar Kabbani
Pediatric Faculty Foundation In
$40.97Published rateAmirreza Fallahi
Riverside Health System
$32.16Published rateShawn Kacker
Advocate Health And Hospitals Corporation
$30.96Published rateMona Lal
Northwestern Memorial Healthcare
$27.88Published rateMichael Bednarz
Veterans Assistance Commission C
$15.80Published rate
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See a sample payer proposalCPT 93790 vs. Other Cardiovascular Procedures Codes
The CPT 93790 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93790 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93784-CPT | Low | Ambulatory Blood Pressure Moni, Ambulatory Blood Pressure Monitoring Utilizing Report-Generating Software Automated Worn Continuously For 24 Hours Or Longer Including Recording Scanning Analysis Interpretation And Report |
| 93786-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
| 93788-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
| 93790-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93790 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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