CPT code 93452: Left heart cath, left-sided study2026 Medicare rate & RVUs in Utah
Left heart catheterization evaluates left ventricular pressures and function, reported when the left-sided catheter study is performed without coronary angiography.
In Utah, Medicare pays $831.07 for 93452 in the office.
Check a contract rate as a % of Medicare · 93452 nationwide
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 11 sections
What 93452 covers
A cardiologist typically advances a catheter through arterial access into the left side of the heart to assess pressures and cardiac function. The study may include contrast injection to image the left ventricle; this is used in evaluations such as suspected valve disease or impaired ventricular function. It is commonly performed in a cardiac catheterization laboratory. Coronary angiography is not part of this service; when it is also performed, a different code describes the combined work.
Report the code for the left-sided catheter study, whether or not ventriculography is performed. The record should support the catheterization and document the findings and any imaging performed. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeon and team-surgery billing are not permitted.
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.
How Utah compares for 93452
Across 109 of 109 payment localities, the office rate for 93452 runs from $762.91 in Arkansas to $1,187.43 in San Benito County, CA. Utah pays $831.07. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$831.07
- Los Angeles, CA · California$1,000.01+$168.94
- Washington, DC area · District of Columbia$1,011.92+$180.85
- Miami, FL · Florida$950.74+$119.67
- Chicago, IL · Illinois$919.56+$88.49
- Manhattan, NY · New York$1,016.41+$185.34
- Alaska · Alaska$981.39+$150.32
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $775.63 | — |
| ArkansasArkansas | $762.91 | — |
| ArizonaArizona | $850.09 | — |
| Bakersfield, CACalifornia | $934.28 | — |
| Chico, CACalifornia | $931.79 | — |
| El Centro, CACalifornia | $931.94 | — |
| Fresno, CACalifornia | $931.79 | — |
| Hanford, CACalifornia | $931.79 | — |
| Madera, CACalifornia | $931.79 | — |
| Merced, CACalifornia | $931.79 | — |
| Modesto, CACalifornia | $931.79 | — |
| Napa, CACalifornia | $1,092.97 | — |
| Oxnard, CACalifornia | $996.17 | — |
| Redding, CACalifornia | $931.79 | — |
| Rest of CaliforniaCalifornia | $931.79 | — |
| Riverside, CACalifornia | $941.47 | — |
| Sacramento, CACalifornia | $981.44 | — |
| Salinas, CACalifornia | $977.91 | — |
| San Diego, CACalifornia | $1,003.82 | — |
| Marin County, CACalifornia | $1,160.53 | — |
| San Francisco, CACalifornia | $1,159.51 | — |
| San Benito County, CACalifornia | $1,187.43 | — |
| Santa Clara County, CACalifornia | $1,183.25 | — |
| San Luis Obispo, CACalifornia | $961.87 | — |
| Santa Cruz, CACalifornia | $1,015.61 | — |
| Santa Maria, CACalifornia | $982.37 | — |
| Santa Rosa, CACalifornia | $1,026.02 | — |
| Stockton, CACalifornia | $931.79 | — |
| Vallejo, CACalifornia | $1,091.49 | — |
| Visalia, CACalifornia | $931.79 | — |
| Yuba City, CACalifornia | $931.79 | — |
| ColoradoColorado | $916.04 | — |
| ConnecticutConnecticut | $939.21 | — |
| DelawareDelaware | $865.41 | — |
| Fort Lauderdale, FLFlorida | $909.49 | — |
| Rest of FloridaFlorida | $860.45 | — |
| Atlanta, GAGeorgia | $893.78 | — |
| Rest of GeorgiaGeorgia | $806.34 | — |
| Hawaii, Guam, HIHawaii | $959.27 | — |
| IowaIowa | $798.53 | — |
| IdahoIdaho | $804.31 | — |
| East St. Louis, ILIllinois | $850.63 | — |
| Rest of IllinoisIllinois | $832.18 | — |
| Suburban Chicago, ILIllinois | $919.22 | — |
| IndianaIndiana | $809.60 | — |
| KansasKansas | $794.05 | — |
| KentuckyKentucky | $795.92 | — |
| New Orleans, LALouisiana | $838.93 | — |
| Rest of LouisianaLouisiana | $794.41 | — |
| Metropolitan Boston, MAMassachusetts | $1,014.50 | — |
| Rest of MassachusettsMassachusetts | $909.42 | — |
| Baltimore area, MDMaryland | $936.63 | — |
| Rest of MarylandMaryland | $883.50 | — |
| Rest of MaineMaine | $808.79 | — |
| Southern Maine, MEMaine | $858.72 | — |
| Detroit, MIMichigan | $872.25 | — |
| Rest of MichiganMichigan | $819.13 | — |
| MinnesotaMinnesota | $875.23 | — |
| Metropolitan Kansas City, MOMissouri | $832.75 | — |
| Metropolitan St. Louis, MOMissouri | $842.59 | — |
| Rest of MissouriMissouri | $778.80 | — |
| MississippiMississippi | $771.04 | — |
| MontanaMontana | $876.05 | — |
| North CarolinaNorth Carolina | $818.39 | — |
| North DakotaNorth Dakota | $858.25 | — |
| NebraskaNebraska | $803.55 | — |
| New HampshireNew Hampshire | $901.02 | — |
| Northern New JerseyNew Jersey | $999.29 | — |
| Rest of New JerseyNew Jersey | $949.23 | — |
| New MexicoNew Mexico | $824.10 | — |
| NevadaNevada | $871.78 | — |
| NYC suburbs and Long Island, NYNew York | $1,043.44 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $955.46 | — |
| Queens, NYNew York | $1,026.07 | — |
| Rest of New YorkNew York | $832.21 | — |
| OhioOhio | $815.50 | — |
| OklahomaOklahoma | $794.56 | — |
| Portland, OROregon | $948.39 | — |
| Rest of OregonOregon | $864.38 | — |
| Metropolitan Philadelphia, PAPennsylvania | $913.22 | — |
| Rest of PennsylvaniaPennsylvania | $817.10 | — |
| Puerto RicoPuerto Rico | $883.35 | — |
| Rhode IslandRhode Island | $898.73 | — |
| South CarolinaSouth Carolina | $818.44 | — |
| South DakotaSouth Dakota | $856.15 | — |
| TennesseeTennessee | $798.54 | — |
| Austin, TXTexas | $913.54 | — |
| Beaumont, TXTexas | $811.02 | — |
| Brazoria, TXTexas | $864.37 | — |
| Dallas, TXTexas | $870.36 | — |
| Fort Worth, TXTexas | $863.76 | — |
| Galveston, TXTexas | $867.21 | — |
| Houston, TXTexas | $883.69 | — |
| Rest of TexasTexas | $837.52 | — |
| VirginiaVirginia | $855.38 | — |
| Virgin Islands, VIUnited States Virgin Islands | $883.35 | — |
| VermontVermont | $854.26 | — |
| Rest of WashingtonWashington | $907.90 | — |
| King County, WAWashington | $1,036.70 | — |
| WisconsinWisconsin | $825.93 | — |
| West VirginiaWest Virginia | $797.44 | — |
| WyomingWyoming | $868.29 | — |
93452 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$762.91
$1,059.61
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $981.39 | 1 |
| AL | $775.63 | 1 |
| AR | $762.91 | 1 |
| AZ | $850.09 | 1 |
| CA | $931.79–$1,187.43 | 29 |
| CO | $916.04 | 1 |
| CT | $939.21 | 1 |
| DC | $1,011.92 | 1 |
| DE | $865.41 | 1 |
| FL | $860.45–$950.74 | 3 |
| GA | $806.34–$893.78 | 2 |
| GU | $959.27 | 1 |
| HI | $959.27 | 1 |
| IA | $798.53 | 1 |
| ID | $804.31 | 1 |
| IL | $832.18–$919.56 | 4 |
| IN | $809.60 | 1 |
| KS | $794.05 | 1 |
| KY | $795.92 | 1 |
| LA | $794.41–$838.93 | 2 |
| MA | $909.42–$1,014.50 | 2 |
| MD | $883.50–$1,011.92 | 3 |
| ME | $808.79–$858.72 | 2 |
| MI | $819.13–$872.25 | 2 |
| MN | $875.23 | 1 |
| MO | $778.80–$842.59 | 3 |
| MS | $771.04 | 1 |
| MT | $876.05 | 1 |
| NC | $818.39 | 1 |
| ND | $858.25 | 1 |
| NE | $803.55 | 1 |
| NH | $901.02 | 1 |
| NJ | $949.23–$999.29 | 2 |
| NM | $824.10 | 1 |
| NV | $871.78 | 1 |
| NY | $832.21–$1,043.44 | 5 |
| OH | $815.50 | 1 |
| OK | $794.56 | 1 |
| OR | $864.38–$948.39 | 2 |
| PA | $817.10–$913.22 | 2 |
| PR | $883.35 | 1 |
| RI | $898.73 | 1 |
| SC | $818.44 | 1 |
| SD | $856.15 | 1 |
| TN | $798.54 | 1 |
| TX | $811.02–$913.54 | 8 |
| UT | $831.07 | 1 |
| VA | $855.38–$1,011.92 | 2 |
| VI | $883.35 | 1 |
| VT | $854.26 | 1 |
| WA | $907.90–$1,036.70 | 2 |
| WI | $825.93 | 1 |
| WV | $797.44 | 1 |
| WY | $868.29 | 1 |
How the 93452 rate is calculated
Each of 93452’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 · 93452
RVUs × geographic indexes × conversion factor
Work4.39
4.39 RVUs× 1.000 GPCI
Practice expense20.94
20.94 RVUs× 1.000 GPCI
Malpractice0.90
0.90 RVUs× 1.000 GPCI
Adjusted RVUs
26.2300
Conversion factor
$33.4009
Medicare rate
$876.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,094
- Code
- 93452
- Physician work
- 4.39
- Practice expense
- 20.94
- Malpractice
- 0.90
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.39 | × 1.000 | 4.3900 |
| Practice expense | 20.94 | × 0.940 | 19.6836 |
| Malpractice | 0.90 | × 0.898 | 0.8082 |
| Total RVUs | 24.8818 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$831.07
Office: (4.39 × 1 + 20.94 × 0.94 + 0.9 × 0.898) × $33.4009 = $831.07
Payment rules and modifiers for 93452
The CMS indicators that decide how 93452 is paid alongside other services.
CMS payment indicators · 93452
Left heart cath, left-sided study
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93452 without 26 · national office
$876.11
Left heart cath, left-sided study
93452-26 · Professional component
$231.13
Pays only the interpretation and report.
How 93452 has changed in Utah
93452 · Office / nonfacility
$831.07
Effective 2026-10-01
The base rate is $47.00 higher than on 2025-10-01, moving from $784.07 to $831.07 (6.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$784.07changed to$831.07
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.50 changed to 4.39
- Practice expense RVU 20.29 changed to 20.94
- Malpractice RVU 0.87 changed to 0.90
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$833.58changed to$784.07
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 21.12 changed to 20.29
- Malpractice RVU 0.90 changed to 0.87
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$819.98changed to$833.58
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$856.80changed to$819.98
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 21.66 changed to 21.12
- Malpractice RVU 0.84 changed to 0.90
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$898.09changed to$856.80
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 22.56 changed to 21.66
- Malpractice RVU 0.90 changed to 0.84
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$911.56changed to$898.09
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 22.80 changed to 22.56
- Malpractice RVU 0.84 changed to 0.90
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$877.37changed to$911.56
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 20.57 changed to 22.80
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$841.23changed to$877.37
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 19.22 changed to 20.57
- Malpractice RVU 0.88 changed to 0.84
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$804.60changed to$841.23
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 18.15 changed to 19.22
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$795.48changed to$804.60
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 18.00 changed to 18.15
- Malpractice RVU 0.87 changed to 0.88
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$847.86changed to$795.48
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 4.75 changed to 4.50
- Practice expense RVU 19.34 changed to 18.00
- Malpractice RVU 0.94 changed to 0.87
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$853.92changed to$847.86
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 19.38 changed to 19.34
- Malpractice RVU 0.98 changed to 0.94
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$849.67changed to$853.92
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$836.67changed to$849.67
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 18.96 changed to 19.38
- Malpractice RVU 1.04 changed to 0.98
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$850.71changed to$836.67
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 20.80 changed to 18.96
- Malpractice RVU 1.09 changed to 1.04
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $850.71
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $831.07 | Not available in this setting | RVU26D |
| 2026-07-01 | $831.07 | Not available in this setting | RVU26C |
| 2026-04-01 | $831.07 | Not available in this setting | RVU26B |
| 2026-01-01 | $831.07 | Not available in this setting | RVU26A |
| 2025-10-01 | $784.07 | Not available in this setting | RVU25D |
| 2025-07-01 | $784.07 | Not available in this setting | RVU25C |
| 2025-04-01 | $784.07 | Not available in this setting | RVU25B |
| 2025-01-01 | $784.07 | Not available in this setting | RVU25A |
| 2024-10-01 | $833.58 | Not available in this setting | RVU24D |
| 2024-07-01 | $833.58 | Not available in this setting | RVU24C |
| 2024-04-01 | $833.58 | Not available in this setting | RVU24B |
| 2024-03-09 | $833.58 | Not available in this setting | RVU24AR |
| 2024-01-01 | $819.98 | Not available in this setting | RVU24A |
| 2023-10-01 | $856.80 | Not available in this setting | RVU23D |
| 2023-07-01 | $856.80 | Not available in this setting | RVU23C |
| 2023-04-01 | $856.80 | Not available in this setting | RVU23B |
| 2023-01-01 | $856.80 | Not available in this setting | RVU23A |
| 2022-10-01 | $898.09 | Not available in this setting | RVU22D |
| 2022-07-01 | $898.09 | Not available in this setting | RVU22C |
| 2022-04-01 | $898.09 | Not available in this setting | RVU22B |
| 2022-01-01 | $898.09 | Not available in this setting | RVU22A |
| 2021-10-01 | $911.56 | Not available in this setting | RVU21D |
| 2021-07-01 | $911.56 | Not available in this setting | RVU21C |
| 2021-04-01 | $911.56 | Not available in this setting | RVU21B |
| 2021-01-01 | $911.56 | Not available in this setting | RVU21A |
| 2020-10-01 | $877.37 | Not available in this setting | RVU20D |
| 2020-07-01 | $877.37 | Not available in this setting | RVU20C |
| 2020-04-01 | $877.37 | Not available in this setting | RVU20B |
| 2020-01-01 | $877.37 | Not available in this setting | RVU20A |
| 2019-10-01 | $841.23 | Not available in this setting | RVU19D |
| 2019-07-01 | $841.23 | Not available in this setting | RVU19C |
| 2019-04-01 | $841.23 | Not available in this setting | RVU19B |
| 2019-01-01 | $841.23 | Not available in this setting | RVU19A |
| 2018-10-01 | $804.60 | Not available in this setting | RVU18D |
| 2018-07-01 | $804.60 | Not available in this setting | RVU18C |
| 2018-04-01 | $804.60 | Not available in this setting | RVU18B |
| 2018-01-01 | $804.60 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $795.48 | Not available in this setting | RVU17D |
| 2017-07-01 | $795.48 | Not available in this setting | RVU17C |
| 2017-04-01 | $795.48 | Not available in this setting | RVU17B |
| 2017-01-01 | $795.48 | Not available in this setting | RVU17A |
| 2016-10-01 | $847.86 | Not available in this setting | RVU16D |
| 2016-07-01 | $847.86 | Not available in this setting | RVU16C |
| 2016-04-01 | $847.86 | Not available in this setting | RVU16B |
| 2016-01-01 | $847.86 | Not available in this setting | RVU16A |
| 2015-10-01 | $853.92 | Not available in this setting | RVU15D |
| 2015-07-01 | $853.92 | Not available in this setting | RVU15C |
| 2015-04-01 | $849.67 | Not available in this setting | RVU15B |
| 2015-01-01 | $849.67 | Not available in this setting | RVU15A |
| 2014-10-01 | $836.67 | Not available in this setting | RVU14D |
| 2014-07-01 | $836.67 | Not available in this setting | RVU14C |
| 2014-04-01 | $836.67 | Not available in this setting | RVU14B |
| 2014-01-01 | $836.67 | Not available in this setting | RVU14A |
| 2013-10-01 | $850.71 | Not available in this setting | RVU13D |
| 2013-07-01 | $850.71 | Not available in this setting | RVU13C |
| 2013-04-01 | $850.71 | Not available in this setting | RVU13B |
| 2013-01-01 | $850.71 | Not available in this setting | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
93452 billing questions
When should 93452 be used instead of 93458?
Use 93452 for the left heart catheterization without coronary angiography. When coronary angiography is also performed, 93458 describes the combined service.
Does 93452 require ventriculography?
No. Ventricular imaging may be performed as part of the study, but the code can be reported when ventriculography is not performed.
How are the professional and technical components billed?
Use modifier 26 for the professional interpretation and modifier TC for the technical component. Billing without either modifier represents the global service.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.
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
Fee sheets
Put 93452 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet