CPT code 93460: Heart catheterization, right and left heart with coronary imaging2026 Medicare rate & RVUs in Missouri
Reports combined right- and left-heart catheterization with coronary angiography when clinicians need coronary anatomy and intracardiac hemodynamics during one diagnostic evaluation.
Medicare pays $1,076.51–$1,161.33 for 93460 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
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 9 sections
What 93460 covers
A cardiologist typically performs this diagnostic catheterization in a cardiac catheterization laboratory to assess coronary anatomy and measure pressures in the right and left sides of the heart. The study can support evaluation of coronary artery disease, valve disease, pulmonary hypertension, or cardiomyopathy. It includes coronary angiographic imaging and left ventriculography when performed; the right- and left-heart measurements provide hemodynamic information that a coronary angiogram alone does not supply.
Select this code when the documented service includes both right- and left-heart catheterization and coronary angiography. The report should support the catheterization performed, the angiographic study, and the physician’s interpretation; bypass graft angiography points to a different code in this family. A 0-day global period includes same-day preoperative and postoperative care. The service may be billed globally or split into professional interpretation (modifier 26) and technical equipment and staff (modifier TC). When multiple procedures occur 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.
Where 93460 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$1076.51 to $1161.33
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $1,148.10 | Unavailable |
| Metropolitan St. Louis, MO | $1,161.33 | Unavailable |
| Rest of Missouri | $1,076.51 | Unavailable |
How the 93460 rate is calculated
Each of 93460’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 · 93460
RVUs × geographic indexes × conversion factor
Work6.92
6.92 RVUs× 1.000 GPCI
Practice expense27.78
27.78 RVUs× 1.000 GPCI
Malpractice1.40
1.40 RVUs× 1.000 GPCI
Adjusted RVUs
36.1000
Conversion factor
$33.4009
Medicare rate
$1,205.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93460
The CMS indicators that decide how 93460 is paid alongside other services.
CMS payment indicators · 93460
Heart catheterization, right and left heart with coronary imaging
| 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
93460 without 26 · national office
$1,205.77
Heart catheterization, right and left heart with coronary imaging
93460-26 · Professional component
$363.74
Pays only the interpretation and report.
93460 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93458Coronary catheterizationLeft heart, native coronaries
- Choose 93458 for left-heart catheterization with coronary angiography when a right-heart study is not performed. The combined right- and left-heart service supports 93460.
- 93461Heart catheterizationBilateral heart and graft imaging
- 93461 includes bypass graft angiography with the combined heart catheterization and coronary study. Use 93460 when graft angiography is not part of the documented service.
- 93453Heart catheterizationRight and left with ventriculography
- 93453 covers combined right- and left-heart catheterization with ventriculography but not coronary angiography. The coronary study distinguishes 93460.
- 93456Cardiac catheterizationRight heart and coronary study
- 93456 combines right-heart catheterization and coronary angiography but does not include the left-heart catheterization component represented by 93460.
93460 billing questions
When should this code be selected instead of 93458?
Use 93460 when the service includes right- and left-heart catheterization with coronary angiography. Code 93458 describes the left-heart and coronary study without the right-heart catheterization.
Is left ventriculography required?
The code includes left ventriculography when performed. The record should reflect what was actually done rather than implying a ventriculogram that was not obtained.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.
Can modifier 50 be used for this service?
No. The anatomy and service definition make bilateral adjustment inappropriate for this code.
How are additional procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%. The 0-day global period includes same-day preoperative and postoperative care.
What supports assistant-at-surgery payment?
The record must document medical necessity for the assistant. Co-surgeons and team surgery are not permitted for this code.
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
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