CPT code 93460: Heart catheterization, right and left heart with coronary imaging2026 Medicare rate & RVUs in Mississippi

Reports combined right- and left-heart catheterization with coronary angiography when clinicians need coronary anatomy and intracardiac hemodynamics during one diagnostic evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality72.5K Medicare services in 2024

In Mississippi, Medicare pays $1,064.59 for 93460 in the office.

$1,064.59Office (non-facility)
Not available in this settingHospital or facility
−11.7%vs the national office rate ($1,205.77)

Check a contract rate as a % of Medicare · 93460 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93460 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 93460 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Mississippi compares for 93460

Across 109 of 109 payment localities, the office rate for 93460 runs from $1,052.26 in Arkansas to $1,619.62 in San Benito County, CA. Mississippi pays $1,064.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

93460 in Mississippi vs other payment areas
  1. Mississippi · this page$1,064.59
  2. Los Angeles, CA · California$1,369.34+$304.75
  3. Washington, DC area · District of Columbia$1,388.70+$324.11
  4. Miami, FL · Florida$1,315.31+$250.72
  5. Chicago, IL · Illinois$1,272.59+$208.00
  6. Manhattan, NY · New York$1,398.28+$333.69
  7. Alaska · Alaska$1,360.66+$296.07

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

93460 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$1,069.49—
ArkansasArkansas$1,052.26—
ArizonaArizona$1,170.27—
Bakersfield, CACalifornia$1,280.96—
Chico, CACalifornia$1,277.08—
El Centro, CACalifornia$1,277.31—
Fresno, CACalifornia$1,277.08—
Hanford, CACalifornia$1,277.08—

93460 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.

$1,052.26

$1,448.35

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
93460 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,360.661
AL$1,069.491
AR$1,052.261
AZ$1,170.271
CA$1,277.08–$1,619.6229
CO$1,257.691
CT$1,291.661
DC$1,388.701
DE$1,191.071
FL$1,188.47–$1,315.313
GA$1,114.54–$1,230.712
GU$1,313.211
HI$1,313.211
IA$1,098.711
ID$1,106.901
IL$1,151.37–$1,272.594
IN$1,114.001
KS$1,093.501
KY$1,098.801
LA$1,097.10–$1,157.392
MA$1,249.16–$1,390.112
MD$1,215.38–$1,388.703
ME$1,113.87–$1,180.172
MI$1,131.08–$1,205.382
MN$1,199.761
MO$1,076.51–$1,161.333
MS$1,064.591
MT$1,205.681
NC$1,126.721
ND$1,178.001
NE$1,105.241
NH$1,237.971
NJ$1,304.92–$1,371.972
NM$1,138.161
NV$1,198.891
NY$1,145.49–$1,436.015
OH$1,125.421
OK$1,096.061
OR$1,188.17–$1,300.492
PA$1,127.11–$1,257.002
PR$1,215.281
RI$1,235.731
SC$1,128.241
SD$1,174.721
TN$1,099.691
TX$1,118.94–$1,254.728
UT$1,145.331
VA$1,176.25–$1,388.702
VI$1,215.281
VT$1,173.391
WA$1,246.78–$1,419.402
WI$1,134.441
WV$1,104.371
WY$1,193.611

See 93460 in every payment locality

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

Office or facility?

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.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,118

Code
93460
Physician work
6.92
Practice expense
27.78
Malpractice
1.40

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 93460 in Mississippi
ComponentRVULocality factorAdjusted
Physician work6.92× 1.0006.9200
Practice expense27.78× 0.86123.9186
Malpractice1.40× 0.7391.0346
Total RVUs31.8732
Conversion factor× 33.4009

Office rate, Mississippi$1064.59

Office: (6.92 × 1 + 27.78 × 0.861 + 1.4 × 0.739) × $33.4009 = $1064.59

Open 93460 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic 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.

When to use modifier 26

How 93460 has changed in Mississippi

93460 · Office / nonfacility

$1064.59

Effective 2026-10-01

The base rate is $54.37 higher than on 2025-10-01, moving from $1010.22 to $1064.59 (5.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $1010.22changed to$1064.59

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.10 changed to 6.92
    • Practice expense RVU 27.07 changed to 27.78
    • Malpractice RVU 1.39 changed to 1.40
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1072.19changed to$1010.22

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 28.21 changed to 27.07
    • Malpractice RVU 1.40 changed to 1.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1054.69changed to$1072.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1099.31changed to$1054.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 28.77 changed to 28.21
    • Malpractice RVU 1.35 changed to 1.40
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $1148.75changed to$1099.31

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 29.86 changed to 28.77
    • Malpractice RVU 1.42 changed to 1.35
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1179.02changed to$1148.75

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 30.59 changed to 29.86
    • Malpractice RVU 1.39 changed to 1.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1152.18changed to$1179.02

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 28.18 changed to 30.59
    • Malpractice RVU 1.35 changed to 1.39
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1117.07changed to$1152.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 26.85 changed to 28.18
    • Malpractice RVU 1.45 changed to 1.35
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1083.22changed to$1117.07

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 25.80 changed to 26.85
    • Malpractice RVU 1.47 changed to 1.45

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1076.21changed to$1083.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 25.57 changed to 25.80
    • Malpractice RVU 1.46 changed to 1.47
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1140.03changed to$1076.21

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 7.35 changed to 7.10
    • Practice expense RVU 27.26 changed to 25.57
    • Malpractice RVU 1.53 changed to 1.46
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1143.61changed to$1140.03

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 27.25 changed to 27.26
    • Malpractice RVU 1.52 changed to 1.53

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1137.92changed to$1143.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1135.85changed to$1137.92

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 26.92 changed to 27.25
    • Malpractice RVU 1.56 changed to 1.52
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1166.47changed to$1135.85

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 29.67 changed to 26.92
    • Malpractice RVU 1.63 changed to 1.56
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1166.47

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,064.59Not available in this settingRVU26D
2026-07-01$1,064.59Not available in this settingRVU26C
2026-04-01$1,064.59Not available in this settingRVU26B
2026-01-01$1,064.59Not available in this settingRVU26A
2025-10-01$1,010.22Not available in this settingRVU25D
2025-07-01$1,010.22Not available in this settingRVU25C
2025-04-01$1,010.22Not available in this settingRVU25B
2025-01-01$1,010.22Not available in this settingRVU25A
2024-10-01$1,072.19Not available in this settingRVU24D
2024-07-01$1,072.19Not available in this settingRVU24C
2024-04-01$1,072.19Not available in this settingRVU24B
2024-03-09$1,072.19Not available in this settingRVU24AR
2024-01-01$1,054.69Not available in this settingRVU24A
2023-10-01$1,099.31Not available in this settingRVU23D
2023-07-01$1,099.31Not available in this settingRVU23C
2023-04-01$1,099.31Not available in this settingRVU23B
2023-01-01$1,099.31Not available in this settingRVU23A
2022-10-01$1,148.75Not available in this settingRVU22D
2022-07-01$1,148.75Not available in this settingRVU22C
2022-04-01$1,148.75Not available in this settingRVU22B
2022-01-01$1,148.75Not available in this settingRVU22A
2021-10-01$1,179.02Not available in this settingRVU21D
2021-07-01$1,179.02Not available in this settingRVU21C
2021-04-01$1,179.02Not available in this settingRVU21B
2021-01-01$1,179.02Not available in this settingRVU21A
2020-10-01$1,152.18Not available in this settingRVU20D
2020-07-01$1,152.18Not available in this settingRVU20C
2020-04-01$1,152.18Not available in this settingRVU20B
2020-01-01$1,152.18Not available in this settingRVU20A
2019-10-01$1,117.07Not available in this settingRVU19D
2019-07-01$1,117.07Not available in this settingRVU19C
2019-04-01$1,117.07Not available in this settingRVU19B
2019-01-01$1,117.07Not available in this settingRVU19A
2018-10-01$1,083.22Not available in this settingRVU18D
2018-07-01$1,083.22Not available in this settingRVU18C
2018-04-01$1,083.22Not available in this settingRVU18B
2018-01-01$1,083.22Not available in this settingRVU18AR1
2017-10-01$1,076.21Not available in this settingRVU17D
2017-07-01$1,076.21Not available in this settingRVU17C
2017-04-01$1,076.21Not available in this settingRVU17B
2017-01-01$1,076.21Not available in this settingRVU17A
2016-10-01$1,140.03Not available in this settingRVU16D
2016-07-01$1,140.03Not available in this settingRVU16C
2016-04-01$1,140.03Not available in this settingRVU16B
2016-01-01$1,140.03Not available in this settingRVU16A
2015-10-01$1,143.61Not available in this settingRVU15D
2015-07-01$1,143.61Not available in this settingRVU15C
2015-04-01$1,137.92Not available in this settingRVU15B
2015-01-01$1,137.92Not available in this settingRVU15A
2014-10-01$1,135.85Not available in this settingRVU14D
2014-07-01$1,135.85Not available in this settingRVU14C
2014-04-01$1,135.85Not available in this settingRVU14B
2014-01-01$1,135.85Not available in this settingRVU14A
2013-10-01$1,166.47Not available in this settingRVU13D
2013-07-01$1,166.47Not available in this settingRVU13C
2013-04-01$1,166.47Not available in this settingRVU13B
2013-01-01$1,166.47Not available in this settingRVU13AR

Price 93460 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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

Show the CMS file lines behind this rate
RVUs for 93460PPRRVU2026_Oct_nonQPP.csv, line 12,118 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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