CPT code 93459: Cardiac catheterization, left heart with bypass grafts2026 Medicare rate & RVUs
Reports diagnostic left-heart catheterization with coronary and bypass-graft angiography, with left ventriculography included when performed during the study.
Medicare pays $1,087.53 for 93459 nationally in the office. Local office rates run $948.52–$1,460.54.
Medicare rate · 93459
Cardiac catheterization, left heart with bypass grafts
- Work RVUs
- 6.19
- Total RVUs
- 32.56
- Global days
- 000
National rate · 2026
$1,087.53
Office setting, before claim adjustments.
See every locality for 93459 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 93459 covers
A cardiologist or other qualified physician performs this invasive diagnostic study, usually in a hospital catheterization laboratory. It combines left-heart catheterization with imaging of the native coronary arteries and bypass grafts, such as saphenous vein or internal mammary artery grafts, in a patient with prior coronary artery bypass surgery. Left ventriculography may be performed as part of the study, but is not required for the code.
Select 93459 when the documented service includes left-heart catheterization, coronary angiography, and bypass-graft angiography; the record should identify the catheterization and the native-vessel and graft imaging performed. The code includes the diagnostic imaging supervision and interpretation. CMS allows global billing or separate professional interpretation (modifier 26) and technical service (modifier TC). It has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. 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.
Where 93459 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$948.52 to $1460.54
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $964.12 | Unavailable |
| Alaska | $1,226.01 | Unavailable |
| Arizona | $1,055.36 | Unavailable |
| Arkansas | $948.52 | Unavailable |
| Atlanta, GA | $1,110.22 | Unavailable |
| Austin, TX | $1,131.62 | Unavailable |
| Bakersfield, CA | $1,155.03 | Unavailable |
| Baltimore area, MD | $1,162.20 | Unavailable |
| Beaumont, TX | $1,009.08 | Unavailable |
| Brazoria, TX | $1,072.17 | Unavailable |
| Chicago, IL | $1,148.97 | Unavailable |
| Chico, CA | $1,151.47 | Unavailable |
| Colorado | $1,134.19 | Unavailable |
| Connecticut | $1,165.22 | Unavailable |
| Dallas, TX | $1,079.92 | Unavailable |
| Delaware | $1,074.16 | Unavailable |
| Detroit, MI | $1,087.77 | Unavailable |
| East St. Louis, IL | $1,064.21 | Unavailable |
| El Centro, CA | $1,151.69 | Unavailable |
| Fort Lauderdale, FL | $1,133.24 | Unavailable |
| Fort Worth, TX | $1,072.11 | Unavailable |
| Fresno, CA | $1,151.47 | Unavailable |
| Galveston, TX | $1,075.91 | Unavailable |
| Hanford, CA | $1,151.47 | Unavailable |
| Hawaii, Guam, HI | $1,184.16 | Unavailable |
| Houston, TX | $1,099.52 | Unavailable |
| Idaho | $997.81 | Unavailable |
| Indiana | $1,004.23 | Unavailable |
| Iowa | $990.35 | Unavailable |
| Kansas | $985.74 | Unavailable |
| Kentucky | $990.89 | Unavailable |
| King County, WA | $1,280.14 | Unavailable |
| Los Angeles, CA | $1,234.83 | Unavailable |
| Madera, CA | $1,151.47 | Unavailable |
| Manhattan, NY | $1,261.72 | Unavailable |
| Marin County, CA | $1,427.32 | Unavailable |
| Merced, CA | $1,151.47 | Unavailable |
| Metropolitan Boston, MA | $1,253.78 | Unavailable |
| Metropolitan Kansas City, MO | $1,035.44 | Unavailable |
| Metropolitan Philadelphia, PA | $1,133.92 | Unavailable |
| Metropolitan St. Louis, MO | $1,047.41 | Unavailable |
| Miami, FL | $1,187.76 | Unavailable |
| Minnesota | $1,081.49 | Unavailable |
| Mississippi | $959.85 | Unavailable |
| Modesto, CA | $1,151.47 | Unavailable |
| Montana | $1,087.45 | Unavailable |
| Napa, CA | $1,345.75 | Unavailable |
| Nebraska | $996.23 | Unavailable |
| Nevada | $1,081.18 | Unavailable |
| New Hampshire | $1,116.49 | Unavailable |
| New Mexico | $1,026.67 | Unavailable |
| New Orleans, LA | $1,043.97 | Unavailable |
| North Carolina | $1,015.85 | Unavailable |
| North Dakota | $1,061.94 | Unavailable |
| Northern New Jersey | $1,237.52 | Unavailable |
| NYC suburbs and Long Island, NY | $1,296.02 | Unavailable |
| Ohio | $1,015.00 | Unavailable |
| Oklahoma | $988.29 | Unavailable |
| Oxnard, CA | $1,229.54 | Unavailable |
| Portland, OR | $1,172.80 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $1,185.47 | Unavailable |
| Puerto Rico | $1,096.10 | Unavailable |
| Queens, NY | $1,272.27 | Unavailable |
| Redding, CA | $1,151.47 | Unavailable |
| Rest of California | $1,151.47 | Unavailable |
| Rest of Florida | $1,072.35 | Unavailable |
| Rest of Georgia | $1,005.34 | Unavailable |
| Rest of Illinois | $1,038.91 | Unavailable |
| Rest of Louisiana | $989.39 | Unavailable |
| Rest of Maine | $1,004.23 | Unavailable |
| Rest of Maryland | $1,096.12 | Unavailable |
| Rest of Massachusetts | $1,126.49 | Unavailable |
| Rest of Michigan | $1,020.21 | Unavailable |
| Rest of Missouri | $970.81 | Unavailable |
| Rest of New Jersey | $1,177.05 | Unavailable |
| Rest of New York | $1,032.85 | Unavailable |
| Rest of Oregon | $1,071.39 | Unavailable |
| Rest of Pennsylvania | $1,016.47 | Unavailable |
| Rest of Texas | $1,040.63 | Unavailable |
| Rest of Washington | $1,124.32 | Unavailable |
| Rhode Island | $1,114.45 | Unavailable |
| Riverside, CA | $1,165.34 | Unavailable |
| Sacramento, CA | $1,211.53 | Unavailable |
| Salinas, CA | $1,207.14 | Unavailable |
| San Benito County, CA | $1,460.54 | Unavailable |
| San Diego, CA | $1,238.19 | Unavailable |
| San Francisco, CA | $1,425.85 | Unavailable |
| San Luis Obispo, CA | $1,187.50 | Unavailable |
| Santa Clara County, CA | $1,454.56 | Unavailable |
| Santa Cruz, CA | $1,251.99 | Unavailable |
| Santa Maria, CA | $1,212.39 | Unavailable |
| Santa Rosa, CA | $1,264.74 | Unavailable |
| South Carolina | $1,017.41 | Unavailable |
| South Dakota | $1,058.92 | Unavailable |
| Southern Maine, ME | $1,064.09 | Unavailable |
| Stockton, CA | $1,151.47 | Unavailable |
| Suburban Chicago, IL | $1,144.86 | Unavailable |
| Tennessee | $991.35 | Unavailable |
| Utah | $1,032.88 | Unavailable |
| Vallejo, CA | $1,343.64 | Unavailable |
| Vermont | $1,057.87 | Unavailable |
| Virgin Islands, VI | $1,096.10 | Unavailable |
| Virginia | $1,060.62 | Unavailable |
| Visalia, CA | $1,151.47 | Unavailable |
| Washington, DC area | $1,252.68 | Unavailable |
| West Virginia | $996.37 | Unavailable |
| Wisconsin | $1,022.53 | Unavailable |
| Wyoming | $1,076.33 | Unavailable |
| Yuba City, CA | $1,151.47 | Unavailable |
93459 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.
$948.52
$1,306.01
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 | $1,226.01 | 1 |
| AL | $964.12 | 1 |
| AR | $948.52 | 1 |
| AZ | $1,055.36 | 1 |
| CA | $1,151.47–$1,460.54 | 29 |
| CO | $1,134.19 | 1 |
| CT | $1,165.22 | 1 |
| DC | $1,252.68 | 1 |
| DE | $1,074.16 | 1 |
| FL | $1,072.35–$1,187.76 | 3 |
| GA | $1,005.34–$1,110.22 | 2 |
| GU | $1,184.16 | 1 |
| HI | $1,184.16 | 1 |
| IA | $990.35 | 1 |
| ID | $997.81 | 1 |
| IL | $1,038.91–$1,148.97 | 4 |
| IN | $1,004.23 | 1 |
| KS | $985.74 | 1 |
| KY | $990.89 | 1 |
| LA | $989.39–$1,043.97 | 2 |
| MA | $1,126.49–$1,253.78 | 2 |
| MD | $1,096.12–$1,252.68 | 3 |
| ME | $1,004.23–$1,064.09 | 2 |
| MI | $1,020.21–$1,087.77 | 2 |
| MN | $1,081.49 | 1 |
| MO | $970.81–$1,047.41 | 3 |
| MS | $959.85 | 1 |
| MT | $1,087.45 | 1 |
| NC | $1,015.85 | 1 |
| ND | $1,061.94 | 1 |
| NE | $996.23 | 1 |
| NH | $1,116.49 | 1 |
| NJ | $1,177.05–$1,237.52 | 2 |
| NM | $1,026.67 | 1 |
| NV | $1,081.18 | 1 |
| NY | $1,032.85–$1,296.02 | 5 |
| OH | $1,015.00 | 1 |
| OK | $988.29 | 1 |
| OR | $1,071.39–$1,172.80 | 2 |
| PA | $1,016.47–$1,133.92 | 2 |
| PR | $1,096.10 | 1 |
| RI | $1,114.45 | 1 |
| SC | $1,017.41 | 1 |
| SD | $1,058.92 | 1 |
| TN | $991.35 | 1 |
| TX | $1,009.08–$1,131.62 | 8 |
| UT | $1,032.88 | 1 |
| VA | $1,060.62–$1,252.68 | 2 |
| VI | $1,096.10 | 1 |
| VT | $1,057.87 | 1 |
| WA | $1,124.32–$1,280.14 | 2 |
| WI | $1,022.53 | 1 |
| WV | $996.37 | 1 |
| WY | $1,076.33 | 1 |
How the 93459 rate is calculated
Each of 93459’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 · 93459
RVUs × geographic indexes × conversion factor
Work6.19
6.19 RVUs× 1.000 GPCI
Practice expense25.08
25.08 RVUs× 1.000 GPCI
Malpractice1.29
1.29 RVUs× 1.000 GPCI
Adjusted RVUs
32.5600
Conversion factor
$33.4009
Medicare rate
$1,087.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93459
The CMS indicators that decide how 93459 is paid alongside other services.
CMS payment indicators · 93459
Cardiac catheterization, left heart with bypass grafts
| 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
93459 without 26 · national office
$1,087.53
Cardiac catheterization, left heart with bypass grafts
93459-26 · Professional component
$325.99
Pays only the interpretation and report.
93459 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93455Coronary angiographyWith bypass graft imaging
- 93455 covers coronary and bypass-graft angiography without left-heart catheterization. Choose 93459 when left-heart catheterization is also performed.
- 93458Coronary catheterizationLeft heart, native coronaries
- Both include left-heart catheterization and coronary angiography; 93459 also includes bypass-graft angiography.
- 93461Heart catheterizationBilateral heart and graft imaging
- 93461 includes right-heart catheterization in addition to the left-heart, coronary, and bypass-graft study. Use 93459 when the study does not include right-heart catheterization.
93459 billing questions
When should 93459 be chosen over 93458?
Use 93459 when the left-heart catheterization and coronary angiography include bypass-graft angiography. Use 93458 when graft angiography is not part of the study.
Is left ventriculography required?
No. Left ventriculography may be performed during the study, but it is not required for 93459.
Can coronary or graft angiography be billed separately?
The coronary and bypass-graft imaging and its supervision and interpretation are included in 93459 for the same study. Do not separately report 93455 for that same imaging.
How are the professional and technical services reported?
Report modifier 26 for the professional interpretation or modifier TC for the technical service. Reporting without either modifier represents the global service.
How does the multiple-procedure rule affect payment?
For multiple procedures in the same session, CMS pays the highest-valued procedure in full and pays other procedures at 50%.
What documentation is needed for an assistant at surgery?
Document the medical necessity for the assistant. CMS pays an assistant at surgery for this code only when that necessity is documented.
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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