CPT code 93454: Coronary angiography, without graft or left-heart catheterization2026 Medicare rate & RVUs in Washington, DC area
Reports diagnostic imaging of the native coronary arteries when coronary angiography is performed without bypass-graft imaging or left-heart catheterization.
In Washington, DC area, Medicare pays $1,013.67 for 93454 in the office.
Check a contract rate as a % of Medicare · 93454 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 93454 covers
This service uses catheter-based contrast injections and imaging to assess the native coronary arteries. A cardiologist, commonly one performing diagnostic or interventional cardiac procedures, typically performs it in a cardiac catheterization laboratory. The study supports evaluation of suspected or known coronary artery disease, such as in a patient with symptoms or other findings that warrant anatomic assessment. It includes the imaging supervision and interpretation for the coronary study.
Select 93454 when the documented service is coronary angiography without bypass-graft imaging or left-heart catheterization; use a different code when those additional services are performed. The report should support the catheter and injection work, the coronary images obtained, and the physician’s interpretation. The 0-day global period includes same-day preoperative and postoperative care. Modifier 26 identifies the professional interpretation, modifier TC the technical service, and no modifier the global service. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery 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 Washington, DC area compares for 93454
Across 109 of 109 payment localities, the office rate for 93454 runs from $764.30 in Arkansas to $1,188.79 in San Benito County, CA. Washington, DC area pays $1,013.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,013.67
- Los Angeles, CA · California$1,001.45−$12.22
- Miami, FL · Florida$953.42−$60.25
- Chicago, IL · Illinois$922.10−$91.57
- Manhattan, NY · New York$1,018.50+$4.83
- Alaska · Alaska$983.40−$30.27
- Alabama · Alabama$777.05−$236.62
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $764.30 | — |
| ArizonaArizona | $851.68 | — |
| Bakersfield, CACalifornia | $935.68 | — |
| Chico, CACalifornia | $933.14 | — |
| El Centro, CACalifornia | $933.30 | — |
| Fresno, CACalifornia | $933.14 | — |
| Hanford, CACalifornia | $933.14 | — |
| Madera, CACalifornia | $933.14 | — |
| Merced, CACalifornia | $933.14 | — |
| Modesto, CACalifornia | $933.14 | — |
| Napa, CACalifornia | $1,094.29 | — |
| Oxnard, CACalifornia | $997.57 | — |
| Redding, CACalifornia | $933.14 | — |
| Rest of CaliforniaCalifornia | $933.14 | — |
| Riverside, CACalifornia | $943.03 | — |
| Sacramento, CACalifornia | $982.79 | — |
| Salinas, CACalifornia | $979.26 | — |
| San Diego, CACalifornia | $1,005.16 | — |
| Marin County, CACalifornia | $1,161.83 | — |
| San Francisco, CACalifornia | $1,160.79 | — |
| San Benito County, CACalifornia | $1,188.79 | — |
| Santa Clara County, CACalifornia | $1,184.52 | — |
| San Luis Obispo, CACalifornia | $963.21 | — |
| Santa Cruz, CACalifornia | $1,016.93 | — |
| Santa Maria, CACalifornia | $983.71 | — |
| Santa Rosa, CACalifornia | $1,027.35 | — |
| Stockton, CACalifornia | $933.14 | — |
| Vallejo, CACalifornia | $1,092.78 | — |
| Visalia, CACalifornia | $933.14 | — |
| Yuba City, CACalifornia | $933.14 | — |
| ColoradoColorado | $917.56 | — |
| ConnecticutConnecticut | $941.02 | — |
| DelawareDelaware | $867.02 | — |
| Fort Lauderdale, FLFlorida | $911.69 | — |
| Rest of FloridaFlorida | $862.47 | — |
| Atlanta, GAGeorgia | $895.58 | — |
| Rest of GeorgiaGeorgia | $808.17 | — |
| Hawaii, Guam, HIHawaii | $960.61 | — |
| IowaIowa | $799.82 | — |
| IdahoIdaho | $805.66 | — |
| East St. Louis, ILIllinois | $853.01 | — |
| Rest of IllinoisIllinois | $834.26 | — |
| Suburban Chicago, ILIllinois | $921.41 | — |
| IndianaIndiana | $810.95 | — |
| KansasKansas | $795.42 | — |
| KentuckyKentucky | $797.57 | — |
| New Orleans, LALouisiana | $840.71 | — |
| Rest of LouisianaLouisiana | $796.09 | — |
| Metropolitan Boston, MAMassachusetts | $1,016.08 | — |
| Rest of MassachusettsMassachusetts | $910.96 | — |
| Baltimore area, MDMaryland | $938.46 | — |
| Rest of MarylandMaryland | $885.12 | — |
| Rest of MaineMaine | $810.23 | — |
| Southern Maine, MEMaine | $860.14 | — |
| Detroit, MIMichigan | $874.39 | — |
| Rest of MichiganMichigan | $820.92 | — |
| MinnesotaMinnesota | $876.42 | — |
| Metropolitan Kansas City, MOMissouri | $834.42 | — |
| Metropolitan St. Louis, MOMissouri | $844.28 | — |
| Rest of MissouriMissouri | $780.50 | — |
| MississippiMississippi | $772.58 | — |
| MontanaMontana | $877.71 | — |
| North CarolinaNorth Carolina | $819.84 | — |
| North DakotaNorth Dakota | $859.52 | — |
| NebraskaNebraska | $804.83 | — |
| New HampshireNew Hampshire | $902.60 | — |
| Northern New JerseyNew Jersey | $1,001.04 | — |
| Rest of New JerseyNew Jersey | $950.99 | — |
| New MexicoNew Mexico | $825.93 | — |
| NevadaNevada | $873.34 | — |
| NYC suburbs and Long Island, NYNew York | $1,045.71 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $957.30 | — |
| Queens, NYNew York | $1,028.06 | — |
| Rest of New YorkNew York | $833.70 | — |
| OhioOhio | $817.20 | — |
| OklahomaOklahoma | $796.12 | — |
| Portland, OROregon | $949.87 | — |
| Rest of OregonOregon | $865.85 | — |
| Metropolitan Philadelphia, PAPennsylvania | $915.03 | — |
| Rest of PennsylvaniaPennsylvania | $818.76 | — |
| Puerto RicoPuerto Rico | $885.00 | — |
| Rhode IslandRhode Island | $900.34 | — |
| South CarolinaSouth Carolina | $820.04 | — |
| South DakotaSouth Dakota | $857.37 | — |
| TennesseeTennessee | $799.93 | — |
| Austin, TXTexas | $915.12 | — |
| Beaumont, TXTexas | $812.68 | — |
| Brazoria, TXTexas | $865.91 | — |
| Dallas, TXTexas | $871.95 | — |
| Fort Worth, TXTexas | $865.36 | — |
| Galveston, TXTexas | $868.78 | — |
| Houston, TXTexas | $885.62 | — |
| Rest of TexasTexas | $839.14 | — |
| UtahUtah | $832.70 | — |
| VirginiaVirginia | $856.86 | — |
| Virgin Islands, VIUnited States Virgin Islands | $885.00 | — |
| VermontVermont | $855.60 | — |
| Rest of WashingtonWashington | $909.41 | — |
| King County, WAWashington | $1,038.24 | — |
| WisconsinWisconsin | $827.15 | — |
| West VirginiaWest Virginia | $799.44 | — |
| WyomingWyoming | $869.79 | — |
93454 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.
$764.30
$1,060.97
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 | $983.40 | 1 |
| AL | $777.05 | 1 |
| AR | $764.30 | 1 |
| AZ | $851.68 | 1 |
| CA | $933.14–$1,188.79 | 29 |
| CO | $917.56 | 1 |
| CT | $941.02 | 1 |
| DC | $1,013.67 | 1 |
| DE | $867.02 | 1 |
| FL | $862.47–$953.42 | 3 |
| GA | $808.17–$895.58 | 2 |
| GU | $960.61 | 1 |
| HI | $960.61 | 1 |
| IA | $799.82 | 1 |
| ID | $805.66 | 1 |
| IL | $834.26–$922.10 | 4 |
| IN | $810.95 | 1 |
| KS | $795.42 | 1 |
| KY | $797.57 | 1 |
| LA | $796.09–$840.71 | 2 |
| MA | $910.96–$1,016.08 | 2 |
| MD | $885.12–$1,013.67 | 3 |
| ME | $810.23–$860.14 | 2 |
| MI | $820.92–$874.39 | 2 |
| MN | $876.42 | 1 |
| MO | $780.50–$844.28 | 3 |
| MS | $772.58 | 1 |
| MT | $877.71 | 1 |
| NC | $819.84 | 1 |
| ND | $859.52 | 1 |
| NE | $804.83 | 1 |
| NH | $902.60 | 1 |
| NJ | $950.99–$1,001.04 | 2 |
| NM | $825.93 | 1 |
| NV | $873.34 | 1 |
| NY | $833.70–$1,045.71 | 5 |
| OH | $817.20 | 1 |
| OK | $796.12 | 1 |
| OR | $865.85–$949.87 | 2 |
| PA | $818.76–$915.03 | 2 |
| PR | $885.00 | 1 |
| RI | $900.34 | 1 |
| SC | $820.04 | 1 |
| SD | $857.37 | 1 |
| TN | $799.93 | 1 |
| TX | $812.68–$915.12 | 8 |
| UT | $832.70 | 1 |
| VA | $856.86–$1,013.67 | 2 |
| VI | $885.00 | 1 |
| VT | $855.60 | 1 |
| WA | $909.41–$1,038.24 | 2 |
| WI | $827.15 | 1 |
| WV | $799.44 | 1 |
| WY | $869.79 | 1 |
How the 93454 rate is calculated
Each of 93454’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 · 93454
RVUs × geographic indexes × conversion factor
Work4.43
4.43 RVUs× 1.000 GPCI
Practice expense20.93
20.93 RVUs× 1.000 GPCI
Malpractice0.92
0.92 RVUs× 1.000 GPCI
Adjusted RVUs
26.2800
Conversion factor
$33.4009
Medicare rate
$877.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,100
- Code
- 93454
- Physician work
- 4.43
- Practice expense
- 20.93
- Malpractice
- 0.92
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.43 | × 1.054 | 4.6692 |
| Practice expense | 20.93 | × 1.178 | 24.6555 |
| Malpractice | 0.92 | × 1.113 | 1.0240 |
| Total RVUs | 30.3487 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$1013.67
Office: (4.43 × 1.054 + 20.93 × 1.178 + 0.92 × 1.113) × $33.4009 = $1013.67
Payment rules and modifiers for 93454
The CMS indicators that decide how 93454 is paid alongside other services.
CMS payment indicators · 93454
Coronary angiography, without graft or left-heart catheterization
| 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
93454 without 26 · national office
$877.78
Coronary angiography, without graft or left-heart catheterization
93454-26 · Professional component
$233.14
Pays only the interpretation and report.
How 93454 has changed in Washington, DC area
93454 · Office / nonfacility
$1013.67
Effective 2026-10-01
The base rate is $37.86 higher than on 2025-10-01, moving from $975.81 to $1013.67 (3.9%).
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
$975.81changed to$1013.67
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.54 changed to 4.43
- Practice expense RVU 20.42 changed to 20.93
- Malpractice RVU 0.88 changed to 0.92
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1039.88changed to$975.81
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 21.29 changed to 20.42
- Malpractice RVU 0.91 changed to 0.88
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1022.91changed to$1039.88
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1091.47changed to$1022.91
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 21.70 changed to 21.29
- Malpractice RVU 0.87 changed to 0.91
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$1171.78changed to$1091.47
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 22.55 changed to 21.70
- Malpractice RVU 0.93 changed to 0.87
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1188.72changed to$1171.78
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 22.77 changed to 22.55
- Malpractice RVU 0.88 changed to 0.93
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1117.96changed to$1188.72
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 20.56 changed to 22.77
- Malpractice RVU 0.87 changed to 0.88
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1054.86changed to$1117.96
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 19.38 changed to 20.56
- Malpractice RVU 0.93 changed to 0.87
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1011.17changed to$1054.86
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 18.41 changed to 19.38
- Malpractice RVU 0.92 changed to 0.93
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1002.41changed to$1011.17
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 18.25 changed to 18.41
- Malpractice RVU 0.93 changed to 0.92
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1072.57changed to$1002.41
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 4.79 changed to 4.54
- Practice expense RVU 19.62 changed to 18.25
- Malpractice RVU 1.00 changed to 0.93
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1076.44changed to$1072.57
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1071.08changed to$1076.44
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1059.98changed to$1071.08
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 19.39 changed to 19.62
- Malpractice RVU 1.04 changed to 1.00
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$1085.12changed to$1059.98
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 21.40 changed to 19.39
- Malpractice RVU 1.09 changed to 1.04
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1085.12
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,013.67 | Not available in this setting | RVU26D |
| 2026-07-01 | $1,013.67 | Not available in this setting | RVU26C |
| 2026-04-01 | $1,013.67 | Not available in this setting | RVU26B |
| 2026-01-01 | $1,013.67 | Not available in this setting | RVU26A |
| 2025-10-01 | $975.81 | Not available in this setting | RVU25D |
| 2025-07-01 | $975.81 | Not available in this setting | RVU25C |
| 2025-04-01 | $975.81 | Not available in this setting | RVU25B |
| 2025-01-01 | $975.81 | Not available in this setting | RVU25A |
| 2024-10-01 | $1,039.88 | Not available in this setting | RVU24D |
| 2024-07-01 | $1,039.88 | Not available in this setting | RVU24C |
| 2024-04-01 | $1,039.88 | Not available in this setting | RVU24B |
| 2024-03-09 | $1,039.88 | Not available in this setting | RVU24AR |
| 2024-01-01 | $1,022.91 | Not available in this setting | RVU24A |
| 2023-10-01 | $1,091.47 | Not available in this setting | RVU23D |
| 2023-07-01 | $1,091.47 | Not available in this setting | RVU23C |
| 2023-04-01 | $1,091.47 | Not available in this setting | RVU23B |
| 2023-01-01 | $1,091.47 | Not available in this setting | RVU23A |
| 2022-10-01 | $1,171.78 | Not available in this setting | RVU22D |
| 2022-07-01 | $1,171.78 | Not available in this setting | RVU22C |
| 2022-04-01 | $1,171.78 | Not available in this setting | RVU22B |
| 2022-01-01 | $1,171.78 | Not available in this setting | RVU22A |
| 2021-10-01 | $1,188.72 | Not available in this setting | RVU21D |
| 2021-07-01 | $1,188.72 | Not available in this setting | RVU21C |
| 2021-04-01 | $1,188.72 | Not available in this setting | RVU21B |
| 2021-01-01 | $1,188.72 | Not available in this setting | RVU21A |
| 2020-10-01 | $1,117.96 | Not available in this setting | RVU20D |
| 2020-07-01 | $1,117.96 | Not available in this setting | RVU20C |
| 2020-04-01 | $1,117.96 | Not available in this setting | RVU20B |
| 2020-01-01 | $1,117.96 | Not available in this setting | RVU20A |
| 2019-10-01 | $1,054.86 | Not available in this setting | RVU19D |
| 2019-07-01 | $1,054.86 | Not available in this setting | RVU19C |
| 2019-04-01 | $1,054.86 | Not available in this setting | RVU19B |
| 2019-01-01 | $1,054.86 | Not available in this setting | RVU19A |
| 2018-10-01 | $1,011.17 | Not available in this setting | RVU18D |
| 2018-07-01 | $1,011.17 | Not available in this setting | RVU18C |
| 2018-04-01 | $1,011.17 | Not available in this setting | RVU18B |
| 2018-01-01 | $1,011.17 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $1,002.41 | Not available in this setting | RVU17D |
| 2017-07-01 | $1,002.41 | Not available in this setting | RVU17C |
| 2017-04-01 | $1,002.41 | Not available in this setting | RVU17B |
| 2017-01-01 | $1,002.41 | Not available in this setting | RVU17A |
| 2016-10-01 | $1,072.57 | Not available in this setting | RVU16D |
| 2016-07-01 | $1,072.57 | Not available in this setting | RVU16C |
| 2016-04-01 | $1,072.57 | Not available in this setting | RVU16B |
| 2016-01-01 | $1,072.57 | Not available in this setting | RVU16A |
| 2015-10-01 | $1,076.44 | Not available in this setting | RVU15D |
| 2015-07-01 | $1,076.44 | Not available in this setting | RVU15C |
| 2015-04-01 | $1,071.08 | Not available in this setting | RVU15B |
| 2015-01-01 | $1,071.08 | Not available in this setting | RVU15A |
| 2014-10-01 | $1,059.98 | Not available in this setting | RVU14D |
| 2014-07-01 | $1,059.98 | Not available in this setting | RVU14C |
| 2014-04-01 | $1,059.98 | Not available in this setting | RVU14B |
| 2014-01-01 | $1,059.98 | Not available in this setting | RVU14A |
| 2013-10-01 | $1,085.12 | Not available in this setting | RVU13D |
| 2013-07-01 | $1,085.12 | Not available in this setting | RVU13C |
| 2013-04-01 | $1,085.12 | Not available in this setting | RVU13B |
| 2013-01-01 | $1,085.12 | Not available in this setting | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
93454 billing questions
When should 93455 be used instead?
Use 93455 when the coronary study includes catheter placement in bypass grafts and graft angiography. Code 93454 describes the coronary study without graft imaging.
How does 93454 differ from 93458?
93454 reports coronary angiography without left-heart catheterization. When coronary angiography and left-heart catheterization are performed together, 93458 is the relevant combined code.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Billing without either modifier represents the global service.
Is the interpretation separately reported?
The imaging supervision and interpretation are part of the coronary angiography service. Modifier 26 identifies that professional component when it is billed separately from the technical component.
Can modifier 50 be used for imaging both coronary arteries?
No. The CMS bilateral adjustment does not support modifier 50 for this service; the coronary anatomy and descriptor make that modifier inappropriate.
What happens when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Any assistant-at-surgery payment requires documentation of medical necessity.
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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