CPT code 93456: Cardiac catheterization, right heart and coronary study2026 Medicare rate & RVUs in New Mexico
Reports right-sided intracardiac hemodynamic assessment combined with coronary artery imaging during a diagnostic catheterization, without left heart catheterization.
In New Mexico, Medicare pays $1,029.73 for 93456 in the office.
Check a contract rate as a % of Medicare · 93456 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 93456 covers
A cardiologist typically performs this diagnostic study in a cardiac catheterization laboratory. Catheters are used to measure pressures and hemodynamics in the right heart and pulmonary circulation, while contrast imaging evaluates the coronary arteries. It may be selected when the clinical evaluation needs both right-sided hemodynamic information and anatomic assessment of coronary disease. The service does not include left heart catheterization or bypass graft angiography.
Report 93456 when both the right heart catheterization and coronary angiography are performed; documentation should support the clinical need, right-sided measurements, and coronary imaging and findings. The code has a 0-day global period, so same-day preoperative and postoperative care is included. It may be billed globally or with modifier 26 for interpretation or TC for the technical portion. When other procedures subject to the standard multiple procedure reduction are performed in the same session, the highest-valued procedure is paid in full and the 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 New Mexico compares for 93456
Across 109 of 109 payment localities, the office rate for 93456 runs from $953.11 in Arkansas to $1,478.03 in San Benito County, CA. New Mexico pays $1,029.73. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,029.73
- Los Angeles, CA · California$1,246.28+$216.55
- Washington, DC area · District of Columbia$1,261.86+$232.13
- Miami, FL · Florida$1,188.16+$158.43
- Chicago, IL · Illinois$1,149.38+$119.65
- Manhattan, NY · New York$1,268.31+$238.58
- Alaska · Alaska$1,228.25+$198.52
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $968.89 | — |
| ArkansasArkansas | $953.11 | — |
| ArizonaArizona | $1,061.22 | — |
| Bakersfield, CACalifornia | $1,164.87 | — |
| Chico, CACalifornia | $1,161.66 | — |
| El Centro, CACalifornia | $1,161.85 | — |
| Fresno, CACalifornia | $1,161.66 | — |
| Hanford, CACalifornia | $1,161.66 | — |
| Madera, CACalifornia | $1,161.66 | — |
| Merced, CACalifornia | $1,161.66 | — |
| Modesto, CACalifornia | $1,161.66 | — |
| Napa, CACalifornia | $1,360.94 | — |
| Oxnard, CACalifornia | $1,241.34 | — |
| Redding, CACalifornia | $1,161.66 | — |
| Rest of CaliforniaCalifornia | $1,161.66 | — |
| Riverside, CACalifornia | $1,174.13 | — |
| Sacramento, CACalifornia | $1,223.11 | — |
| Salinas, CACalifornia | $1,218.70 | — |
| San Diego, CACalifornia | $1,250.66 | — |
| Marin County, CACalifornia | $1,444.56 | — |
| San Francisco, CACalifornia | $1,443.24 | — |
| San Benito County, CACalifornia | $1,478.03 | — |
| Santa Clara County, CACalifornia | $1,472.64 | — |
| San Luis Obispo, CACalifornia | $1,198.75 | — |
| Santa Cruz, CACalifornia | $1,265.09 | — |
| Santa Maria, CACalifornia | $1,224.16 | — |
| Santa Rosa, CACalifornia | $1,278.04 | — |
| Stockton, CACalifornia | $1,161.66 | — |
| Vallejo, CACalifornia | $1,359.04 | — |
| Visalia, CACalifornia | $1,161.66 | — |
| Yuba City, CACalifornia | $1,161.66 | — |
| ColoradoColorado | $1,142.58 | — |
| ConnecticutConnecticut | $1,171.95 | — |
| DelawareDelaware | $1,080.24 | — |
| Fort Lauderdale, FLFlorida | $1,136.07 | — |
| Rest of FloridaFlorida | $1,075.07 | — |
| Atlanta, GAGeorgia | $1,115.71 | — |
| Rest of GeorgiaGeorgia | $1,007.81 | — |
| Hawaii, Guam, HIHawaii | $1,195.43 | — |
| IowaIowa | $996.85 | — |
| IdahoIdaho | $1,004.11 | — |
| East St. Louis, ILIllinois | $1,063.81 | — |
| Rest of IllinoisIllinois | $1,040.30 | — |
| Suburban Chicago, ILIllinois | $1,148.10 | — |
| IndianaIndiana | $1,010.65 | — |
| KansasKansas | $991.50 | — |
| KentuckyKentucky | $994.49 | — |
| New Orleans, LALouisiana | $1,047.91 | — |
| Rest of LouisianaLouisiana | $992.70 | — |
| Metropolitan Boston, MAMassachusetts | $1,264.53 | — |
| Rest of MassachusettsMassachusetts | $1,134.48 | — |
| Baltimore area, MDMaryland | $1,168.78 | — |
| Rest of MarylandMaryland | $1,102.64 | — |
| Rest of MaineMaine | $1,009.88 | — |
| Southern Maine, MEMaine | $1,071.48 | — |
| Detroit, MIMichigan | $1,089.93 | — |
| Rest of MichiganMichigan | $1,023.48 | — |
| MinnesotaMinnesota | $1,091.29 | — |
| Metropolitan Kansas City, MOMissouri | $1,040.03 | — |
| Metropolitan St. Louis, MOMissouri | $1,052.21 | — |
| Rest of MissouriMissouri | $973.48 | — |
| MississippiMississippi | $963.51 | — |
| MontanaMontana | $1,093.47 | — |
| North CarolinaNorth Carolina | $1,021.75 | — |
| North DakotaNorth Dakota | $1,070.53 | — |
| NebraskaNebraska | $1,003.01 | — |
| New HampshireNew Hampshire | $1,124.07 | — |
| Northern New JerseyNew Jersey | $1,246.32 | — |
| Rest of New JerseyNew Jersey | $1,184.36 | — |
| NevadaNevada | $1,087.94 | — |
| NYC suburbs and Long Island, NYNew York | $1,302.10 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,192.29 | — |
| Queens, NYNew York | $1,279.98 | — |
| Rest of New YorkNew York | $1,038.90 | — |
| OhioOhio | $1,018.80 | — |
| OklahomaOklahoma | $992.59 | — |
| Portland, OROregon | $1,182.46 | — |
| Rest of OregonOregon | $1,078.59 | — |
| Metropolitan Philadelphia, PAPennsylvania | $1,139.85 | — |
| Rest of PennsylvaniaPennsylvania | $1,020.67 | — |
| Puerto RicoPuerto Rico | $1,102.45 | — |
| Rhode IslandRhode Island | $1,121.48 | — |
| South CarolinaSouth Carolina | $1,022.17 | — |
| South DakotaSouth Dakota | $1,067.82 | — |
| TennesseeTennessee | $997.10 | — |
| Austin, TXTexas | $1,139.55 | — |
| Beaumont, TXTexas | $1,013.15 | — |
| Brazoria, TXTexas | $1,078.79 | — |
| Dallas, TXTexas | $1,086.32 | — |
| Fort Worth, TXTexas | $1,078.20 | — |
| Galveston, TXTexas | $1,082.38 | — |
| Houston, TXTexas | $1,103.61 | — |
| Rest of TexasTexas | $1,045.79 | — |
| UtahUtah | $1,037.83 | — |
| VirginiaVirginia | $1,067.49 | — |
| Virgin Islands, VIUnited States Virgin Islands | $1,102.45 | — |
| VermontVermont | $1,065.78 | — |
| Rest of WashingtonWashington | $1,132.51 | — |
| King County, WAWashington | $1,291.90 | — |
| WisconsinWisconsin | $1,030.50 | — |
| West VirginiaWest Virginia | $997.22 | — |
| WyomingWyoming | $1,083.47 | — |
93456 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.
$953.11
$1,319.85
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 | $1,228.25 | 1 |
| AL | $968.89 | 1 |
| AR | $953.11 | 1 |
| AZ | $1,061.22 | 1 |
| CA | $1,161.66–$1,478.03 | 29 |
| CO | $1,142.58 | 1 |
| CT | $1,171.95 | 1 |
| DC | $1,261.86 | 1 |
| DE | $1,080.24 | 1 |
| FL | $1,075.07–$1,188.16 | 3 |
| GA | $1,007.81–$1,115.71 | 2 |
| GU | $1,195.43 | 1 |
| HI | $1,195.43 | 1 |
| IA | $996.85 | 1 |
| ID | $1,004.11 | 1 |
| IL | $1,040.30–$1,149.38 | 4 |
| IN | $1,010.65 | 1 |
| KS | $991.50 | 1 |
| KY | $994.49 | 1 |
| LA | $992.70–$1,047.91 | 2 |
| MA | $1,134.48–$1,264.53 | 2 |
| MD | $1,102.64–$1,261.86 | 3 |
| ME | $1,009.88–$1,071.48 | 2 |
| MI | $1,023.48–$1,089.93 | 2 |
| MN | $1,091.29 | 1 |
| MO | $973.48–$1,052.21 | 3 |
| MS | $963.51 | 1 |
| MT | $1,093.47 | 1 |
| NC | $1,021.75 | 1 |
| ND | $1,070.53 | 1 |
| NE | $1,003.01 | 1 |
| NH | $1,124.07 | 1 |
| NJ | $1,184.36–$1,246.32 | 2 |
| NM | $1,029.73 | 1 |
| NV | $1,087.94 | 1 |
| NY | $1,038.90–$1,302.10 | 5 |
| OH | $1,018.80 | 1 |
| OK | $992.59 | 1 |
| OR | $1,078.59–$1,182.46 | 2 |
| PA | $1,020.67–$1,139.85 | 2 |
| PR | $1,102.45 | 1 |
| RI | $1,121.48 | 1 |
| SC | $1,022.17 | 1 |
| SD | $1,067.82 | 1 |
| TN | $997.10 | 1 |
| TX | $1,013.15–$1,139.55 | 8 |
| UT | $1,037.83 | 1 |
| VA | $1,067.49–$1,261.86 | 2 |
| VI | $1,102.45 | 1 |
| VT | $1,065.78 | 1 |
| WA | $1,132.51–$1,291.90 | 2 |
| WI | $1,030.50 | 1 |
| WV | $997.22 | 1 |
| WY | $1,083.47 | 1 |
How the 93456 rate is calculated
Each of 93456’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 · 93456
RVUs × geographic indexes × conversion factor
Work5.75
5.75 RVUs× 1.000 GPCI
Practice expense25.83
25.83 RVUs× 1.000 GPCI
Malpractice1.16
1.16 RVUs× 1.000 GPCI
Adjusted RVUs
32.7400
Conversion factor
$33.4009
Medicare rate
$1,093.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,106
- Code
- 93456
- Physician work
- 5.75
- Practice expense
- 25.83
- Malpractice
- 1.16
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.75 | × 1.000 | 5.7500 |
| Practice expense | 25.83 | × 0.917 | 23.6861 |
| Malpractice | 1.16 | × 1.201 | 1.3932 |
| Total RVUs | 30.8293 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$1029.73
Office: (5.75 × 1 + 25.83 × 0.917 + 1.16 × 1.201) × $33.4009 = $1029.73
Payment rules and modifiers for 93456
The CMS indicators that decide how 93456 is paid alongside other services.
CMS payment indicators · 93456
Cardiac catheterization, right heart and coronary 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
93456 without 26 · national office
$1,093.55
Cardiac catheterization, right heart and coronary study
93456-26 · Professional component
$302.95
Pays only the interpretation and report.
How 93456 has changed in New Mexico
93456 · Office / nonfacility
$1029.73
Effective 2026-10-01
The base rate is $57.50 higher than on 2025-10-01, moving from $972.23 to $1029.73 (5.9%).
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
$972.23changed to$1029.73
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.90 changed to 5.75
- Practice expense RVU 25.12 changed to 25.83
- Malpractice RVU 1.15 changed to 1.16
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1034.03changed to$972.23
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 26.19 changed to 25.12
- Malpractice RVU 1.18 changed to 1.15
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1017.15changed to$1034.03
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1060.73changed to$1017.15
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 26.71 changed to 26.19
- Malpractice RVU 1.12 changed to 1.18
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$1111.34changed to$1060.73
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 27.76 changed to 26.71
- Malpractice RVU 1.15 changed to 1.12
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1136.72changed to$1111.34
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 28.29 changed to 27.76
- Malpractice RVU 1.14 changed to 1.15
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1108.80changed to$1136.72
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 25.85 changed to 28.29
- Malpractice RVU 1.12 changed to 1.14
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1075.45changed to$1108.80
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 24.37 changed to 25.85
- Malpractice RVU 1.20 changed to 1.12
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1032.71changed to$1075.45
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 23.13 changed to 24.37
- Malpractice RVU 1.19 changed to 1.20
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1019.37changed to$1032.71
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 22.89 changed to 23.13
- Malpractice RVU 1.20 changed to 1.19
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1076.59changed to$1019.37
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 6.15 changed to 5.90
- Practice expense RVU 24.41 changed to 22.89
- Malpractice RVU 1.28 changed to 1.20
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1079.66changed to$1076.59
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 24.36 changed to 24.41
- Malpractice RVU 1.30 changed to 1.28
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1074.29changed to$1079.66
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1064.80changed to$1074.29
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 24.14 changed to 24.36
- Malpractice RVU 1.31 changed to 1.30
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$1086.89changed to$1064.80
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 26.67 changed to 24.14
- Malpractice RVU 1.37 changed to 1.31
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1086.89
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,029.73 | Not available in this setting | RVU26D |
| 2026-07-01 | $1,029.73 | Not available in this setting | RVU26C |
| 2026-04-01 | $1,029.73 | Not available in this setting | RVU26B |
| 2026-01-01 | $1,029.73 | Not available in this setting | RVU26A |
| 2025-10-01 | $972.23 | Not available in this setting | RVU25D |
| 2025-07-01 | $972.23 | Not available in this setting | RVU25C |
| 2025-04-01 | $972.23 | Not available in this setting | RVU25B |
| 2025-01-01 | $972.23 | Not available in this setting | RVU25A |
| 2024-10-01 | $1,034.03 | Not available in this setting | RVU24D |
| 2024-07-01 | $1,034.03 | Not available in this setting | RVU24C |
| 2024-04-01 | $1,034.03 | Not available in this setting | RVU24B |
| 2024-03-09 | $1,034.03 | Not available in this setting | RVU24AR |
| 2024-01-01 | $1,017.15 | Not available in this setting | RVU24A |
| 2023-10-01 | $1,060.73 | Not available in this setting | RVU23D |
| 2023-07-01 | $1,060.73 | Not available in this setting | RVU23C |
| 2023-04-01 | $1,060.73 | Not available in this setting | RVU23B |
| 2023-01-01 | $1,060.73 | Not available in this setting | RVU23A |
| 2022-10-01 | $1,111.34 | Not available in this setting | RVU22D |
| 2022-07-01 | $1,111.34 | Not available in this setting | RVU22C |
| 2022-04-01 | $1,111.34 | Not available in this setting | RVU22B |
| 2022-01-01 | $1,111.34 | Not available in this setting | RVU22A |
| 2021-10-01 | $1,136.72 | Not available in this setting | RVU21D |
| 2021-07-01 | $1,136.72 | Not available in this setting | RVU21C |
| 2021-04-01 | $1,136.72 | Not available in this setting | RVU21B |
| 2021-01-01 | $1,136.72 | Not available in this setting | RVU21A |
| 2020-10-01 | $1,108.80 | Not available in this setting | RVU20D |
| 2020-07-01 | $1,108.80 | Not available in this setting | RVU20C |
| 2020-04-01 | $1,108.80 | Not available in this setting | RVU20B |
| 2020-01-01 | $1,108.80 | Not available in this setting | RVU20A |
| 2019-10-01 | $1,075.45 | Not available in this setting | RVU19D |
| 2019-07-01 | $1,075.45 | Not available in this setting | RVU19C |
| 2019-04-01 | $1,075.45 | Not available in this setting | RVU19B |
| 2019-01-01 | $1,075.45 | Not available in this setting | RVU19A |
| 2018-10-01 | $1,032.71 | Not available in this setting | RVU18D |
| 2018-07-01 | $1,032.71 | Not available in this setting | RVU18C |
| 2018-04-01 | $1,032.71 | Not available in this setting | RVU18B |
| 2018-01-01 | $1,032.71 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $1,019.37 | Not available in this setting | RVU17D |
| 2017-07-01 | $1,019.37 | Not available in this setting | RVU17C |
| 2017-04-01 | $1,019.37 | Not available in this setting | RVU17B |
| 2017-01-01 | $1,019.37 | Not available in this setting | RVU17A |
| 2016-10-01 | $1,076.59 | Not available in this setting | RVU16D |
| 2016-07-01 | $1,076.59 | Not available in this setting | RVU16C |
| 2016-04-01 | $1,076.59 | Not available in this setting | RVU16B |
| 2016-01-01 | $1,076.59 | Not available in this setting | RVU16A |
| 2015-10-01 | $1,079.66 | Not available in this setting | RVU15D |
| 2015-07-01 | $1,079.66 | Not available in this setting | RVU15C |
| 2015-04-01 | $1,074.29 | Not available in this setting | RVU15B |
| 2015-01-01 | $1,074.29 | Not available in this setting | RVU15A |
| 2014-10-01 | $1,064.80 | Not available in this setting | RVU14D |
| 2014-07-01 | $1,064.80 | Not available in this setting | RVU14C |
| 2014-04-01 | $1,064.80 | Not available in this setting | RVU14B |
| 2014-01-01 | $1,064.80 | Not available in this setting | RVU14A |
| 2013-10-01 | $1,086.89 | Not available in this setting | RVU13D |
| 2013-07-01 | $1,086.89 | Not available in this setting | RVU13C |
| 2013-04-01 | $1,086.89 | Not available in this setting | RVU13B |
| 2013-01-01 | $1,086.89 | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
93456 billing questions
When should 93456 be chosen over 93451?
Use 93456 when the same diagnostic session includes right heart catheterization and coronary angiography. Use 93451 when the service is right heart catheterization without the coronary imaging.
How does 93456 differ from 93454?
93456 includes right-sided hemodynamic catheterization along with coronary angiography. 93454 describes coronary angiography without the right heart catheterization.
Can right heart catheterization or coronary angiography be billed separately with 93456?
Both services are represented in 93456 when performed as part of the combined study. Do not separately report the component service for the same work.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation and modifier TC identifies the technical portion; billing without either modifier represents the global service.
Is modifier 50 appropriate, and how are other same-session procedures handled?
Modifier 50 is inappropriate for this code. When another procedure subject to the standard multiple procedure reduction is performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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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