CPT code 93461: Heart catheterization, bilateral heart and graft imaging2026 Medicare rate & RVUs in Puerto Rico
Reports combined right and left heart catheterization with coronary and bypass graft angiography, typically when evaluating a patient with prior coronary bypass surgery.
In Puerto Rico, Medicare pays $1,339.48 for 93461 in the office.
Check a contract rate as a % of Medicare · 93461 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 93461 covers
This service combines right- and left-sided heart catheterization with coronary artery and bypass graft angiography. The cardiologist records pressure and hemodynamic information from both sides of the heart and uses catheter-based contrast imaging to assess native coronary arteries and bypass grafts. Left ventriculography may also be performed. It is typically done in a cardiac catheterization laboratory for patients with known or suspected coronary disease and prior bypass surgery when both heart pressures and coronary or graft anatomy need assessment.
Report the code when the documented service includes right and left heart catheterization plus coronary and bypass graft angiography; document the catheter placements, studies performed, and imaging interpretation. The diagnostic service may be billed globally or as a professional component with modifier 26 or a technical component with modifier TC. It has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment requires medical-necessity documentation; 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 Puerto Rico compares for 93461
Across 109 of 109 payment localities, the office rate for 93461 runs from $1,159.73 in Arkansas to $1,784.41 in San Benito County, CA. Puerto Rico pays $1,339.48. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$1,339.48
- Los Angeles, CA · California$1,508.91+$169.43
- Washington, DC area · District of Columbia$1,530.52+$191.04
- Miami, FL · Florida$1,450.57+$111.09
- Chicago, IL · Illinois$1,403.39+$63.91
- Manhattan, NY · New York$1,541.38+$201.90
- Alaska · Alaska$1,499.78+$160.30
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,178.73 | — |
| ArkansasArkansas | $1,159.73 | — |
| ArizonaArizona | $1,289.86 | — |
| Bakersfield, CACalifornia | $1,411.56 | — |
| Chico, CACalifornia | $1,407.24 | — |
| El Centro, CACalifornia | $1,407.50 | — |
| Fresno, CACalifornia | $1,407.24 | — |
| Hanford, CACalifornia | $1,407.24 | — |
| Madera, CACalifornia | $1,407.24 | — |
| Merced, CACalifornia | $1,407.24 | — |
| Modesto, CACalifornia | $1,407.24 | — |
| Napa, CACalifornia | $1,644.29 | — |
| Oxnard, CACalifornia | $1,502.43 | — |
| Redding, CACalifornia | $1,407.24 | — |
| Rest of CaliforniaCalifornia | $1,407.24 | — |
| Riverside, CACalifornia | $1,424.02 | — |
| Sacramento, CACalifornia | $1,480.53 | — |
| Salinas, CACalifornia | $1,475.17 | — |
| San Diego, CACalifornia | $1,513.02 | — |
| Marin County, CACalifornia | $1,743.88 | — |
| San Francisco, CACalifornia | $1,742.11 | — |
| San Benito County, CACalifornia | $1,784.41 | — |
| Santa Clara County, CACalifornia | $1,777.17 | — |
| San Luis Obispo, CACalifornia | $1,451.16 | — |
| Santa Cruz, CACalifornia | $1,529.81 | — |
| Santa Maria, CACalifornia | $1,481.55 | — |
| Santa Rosa, CACalifornia | $1,545.39 | — |
| Stockton, CACalifornia | $1,407.24 | — |
| Vallejo, CACalifornia | $1,641.74 | — |
| Visalia, CACalifornia | $1,407.24 | — |
| Yuba City, CACalifornia | $1,407.24 | — |
| ColoradoColorado | $1,386.05 | — |
| ConnecticutConnecticut | $1,423.72 | — |
| DelawareDelaware | $1,312.78 | — |
| Fort Lauderdale, FLFlorida | $1,384.40 | — |
| Rest of FloridaFlorida | $1,310.29 | — |
| Atlanta, GAGeorgia | $1,356.60 | — |
| Rest of GeorgiaGeorgia | $1,228.71 | — |
| Hawaii, Guam, HIHawaii | $1,447.02 | — |
| IowaIowa | $1,210.78 | — |
| IdahoIdaho | $1,219.85 | — |
| East St. Louis, ILIllinois | $1,300.14 | — |
| Rest of IllinoisIllinois | $1,269.50 | — |
| Suburban Chicago, ILIllinois | $1,398.61 | — |
| IndianaIndiana | $1,227.68 | — |
| KansasKansas | $1,205.12 | — |
| KentuckyKentucky | $1,211.22 | — |
| New Orleans, LALouisiana | $1,275.85 | — |
| Rest of LouisianaLouisiana | $1,209.37 | — |
| Metropolitan Boston, MAMassachusetts | $1,531.92 | — |
| Rest of MassachusettsMassachusetts | $1,376.67 | — |
| Baltimore area, MDMaryland | $1,420.02 | — |
| Rest of MarylandMaryland | $1,339.56 | — |
| Rest of MaineMaine | $1,227.61 | — |
| Southern Maine, MEMaine | $1,300.60 | — |
| Detroit, MIMichigan | $1,329.02 | — |
| Rest of MichiganMichigan | $1,246.88 | — |
| MinnesotaMinnesota | $1,321.96 | — |
| Metropolitan Kansas City, MOMissouri | $1,265.52 | — |
| Metropolitan St. Louis, MOMissouri | $1,280.10 | — |
| Rest of MissouriMissouri | $1,186.71 | — |
| MississippiMississippi | $1,173.45 | — |
| MontanaMontana | $1,328.92 | — |
| North CarolinaNorth Carolina | $1,241.78 | — |
| North DakotaNorth Dakota | $1,298.07 | — |
| NebraskaNebraska | $1,217.96 | — |
| New HampshireNew Hampshire | $1,364.39 | — |
| Northern New JerseyNew Jersey | $1,512.09 | — |
| Rest of New JerseyNew Jersey | $1,438.27 | — |
| New MexicoNew Mexico | $1,254.72 | — |
| NevadaNevada | $1,321.34 | — |
| NYC suburbs and Long Island, NYNew York | $1,583.07 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,448.50 | — |
| Queens, NYNew York | $1,554.30 | — |
| Rest of New YorkNew York | $1,262.48 | — |
| OhioOhio | $1,240.58 | — |
| OklahomaOklahoma | $1,208.11 | — |
| Portland, OROregon | $1,433.15 | — |
| Rest of OregonOregon | $1,309.46 | — |
| Metropolitan Philadelphia, PAPennsylvania | $1,385.55 | — |
| Rest of PennsylvaniaPennsylvania | $1,242.40 | — |
| Rhode IslandRhode Island | $1,361.96 | — |
| South CarolinaSouth Carolina | $1,243.58 | — |
| South DakotaSouth Dakota | $1,294.42 | — |
| TennesseeTennessee | $1,211.95 | — |
| Austin, TXTexas | $1,382.83 | — |
| Beaumont, TXTexas | $1,233.40 | — |
| Brazoria, TXTexas | $1,310.41 | — |
| Dallas, TXTexas | $1,319.84 | — |
| Fort Worth, TXTexas | $1,310.30 | — |
| Galveston, TXTexas | $1,314.95 | — |
| Houston, TXTexas | $1,343.51 | — |
| Rest of TexasTexas | $1,271.88 | — |
| UtahUtah | $1,262.42 | — |
| VirginiaVirginia | $1,296.34 | — |
| Virgin Islands, VIUnited States Virgin Islands | $1,339.48 | — |
| VermontVermont | $1,293.07 | — |
| Rest of WashingtonWashington | $1,374.02 | — |
| King County, WAWashington | $1,564.12 | — |
| WisconsinWisconsin | $1,250.07 | — |
| West VirginiaWest Virginia | $1,217.68 | — |
| WyomingWyoming | $1,315.47 | — |
93461 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.
$1,159.73
$1,595.83
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 | $1,499.78 | 1 |
| AL | $1,178.73 | 1 |
| AR | $1,159.73 | 1 |
| AZ | $1,289.86 | 1 |
| CA | $1,407.24–$1,784.41 | 29 |
| CO | $1,386.05 | 1 |
| CT | $1,423.72 | 1 |
| DC | $1,530.52 | 1 |
| DE | $1,312.78 | 1 |
| FL | $1,310.29–$1,450.57 | 3 |
| GA | $1,228.71–$1,356.60 | 2 |
| GU | $1,447.02 | 1 |
| HI | $1,447.02 | 1 |
| IA | $1,210.78 | 1 |
| ID | $1,219.85 | 1 |
| IL | $1,269.50–$1,403.39 | 4 |
| IN | $1,227.68 | 1 |
| KS | $1,205.12 | 1 |
| KY | $1,211.22 | 1 |
| LA | $1,209.37–$1,275.85 | 2 |
| MA | $1,376.67–$1,531.92 | 2 |
| MD | $1,339.56–$1,530.52 | 3 |
| ME | $1,227.61–$1,300.60 | 2 |
| MI | $1,246.88–$1,329.02 | 2 |
| MN | $1,321.96 | 1 |
| MO | $1,186.71–$1,280.10 | 3 |
| MS | $1,173.45 | 1 |
| MT | $1,328.92 | 1 |
| NC | $1,241.78 | 1 |
| ND | $1,298.07 | 1 |
| NE | $1,217.96 | 1 |
| NH | $1,364.39 | 1 |
| NJ | $1,438.27–$1,512.09 | 2 |
| NM | $1,254.72 | 1 |
| NV | $1,321.34 | 1 |
| NY | $1,262.48–$1,583.07 | 5 |
| OH | $1,240.58 | 1 |
| OK | $1,208.11 | 1 |
| OR | $1,309.46–$1,433.15 | 2 |
| PA | $1,242.40–$1,385.55 | 2 |
| PR | $1,339.48 | 1 |
| RI | $1,361.96 | 1 |
| SC | $1,243.58 | 1 |
| SD | $1,294.42 | 1 |
| TN | $1,211.95 | 1 |
| TX | $1,233.40–$1,382.83 | 8 |
| UT | $1,262.42 | 1 |
| VA | $1,296.34–$1,530.52 | 2 |
| VI | $1,339.48 | 1 |
| VT | $1,293.07 | 1 |
| WA | $1,374.02–$1,564.12 | 2 |
| WI | $1,250.07 | 1 |
| WV | $1,217.68 | 1 |
| WY | $1,315.47 | 1 |
How the 93461 rate is calculated
Each of 93461’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 · 93461
RVUs × geographic indexes × conversion factor
Work7.65
7.65 RVUs× 1.000 GPCI
Practice expense30.58
30.58 RVUs× 1.000 GPCI
Malpractice1.56
1.56 RVUs× 1.000 GPCI
Adjusted RVUs
39.7900
Conversion factor
$33.4009
Medicare rate
$1,329.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,121
- Code
- 93461
- Physician work
- 7.65
- Practice expense
- 30.58
- Malpractice
- 1.56
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.65 | × 1.000 | 7.6500 |
| Practice expense | 30.58 | × 1.011 | 30.9164 |
| Malpractice | 1.56 | × 0.985 | 1.5366 |
| Total RVUs | 40.1030 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$1339.48
Office: (7.65 × 1 + 30.58 × 1.011 + 1.56 × 0.985) × $33.4009 = $1339.48
Payment rules and modifiers for 93461
The CMS indicators that decide how 93461 is paid alongside other services.
CMS payment indicators · 93461
Heart catheterization, bilateral heart and graft 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
93461 without 26 · national office
$1,329.02
Heart catheterization, bilateral heart and graft imaging
93461-26 · Professional component
$401.81
Pays only the interpretation and report.
How 93461 has changed in Puerto Rico
93461 · Office / nonfacility
$1339.48
Effective 2026-10-01
The base rate is $64.66 higher than on 2025-10-01, moving from $1274.82 to $1339.48 (5.1%).
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
$1274.82changed to$1339.48
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 7.85 changed to 7.65
- Practice expense RVU 29.85 changed to 30.58
- Malpractice RVU 1.53 changed to 1.56
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1354.45changed to$1274.82
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 31.09 changed to 29.85
- Malpractice RVU 1.56 changed to 1.53
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1332.35changed to$1354.45
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1398.84changed to$1332.35
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 31.69 changed to 31.09
- Malpractice RVU 1.51 changed to 1.56
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$1391.07changed to$1398.84
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$1472.53changed to$1391.07
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 32.88 changed to 31.69
- Malpractice RVU 1.58 changed to 1.51
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$1520.66changed to$1472.53
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 33.97 changed to 32.88
- Malpractice RVU 1.51 changed to 1.58
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1488.17changed to$1520.66
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 31.66 changed to 33.97
- Malpractice RVU 1.49 changed to 1.51
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1451.23changed to$1488.17
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 30.61 changed to 31.66
- Malpractice RVU 1.61 changed to 1.49
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1423.18changed to$1451.23
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 29.89 changed to 30.61
- Malpractice RVU 1.60 changed to 1.61
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1228.16changed to$1423.18
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 29.60 changed to 29.89
- Malpractice RVU 1.61 changed to 1.60
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1103.73changed to$1228.16
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 8.10 changed to 7.85
- Practice expense RVU 31.53 changed to 29.60
- Malpractice RVU 1.70 changed to 1.61
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1106.95changed to$1103.73
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 31.50 changed to 31.53
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1101.44changed to$1106.95
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1079.25changed to$1101.44
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 31.15 changed to 31.50
- Malpractice RVU 1.74 changed to 1.70
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$1083.61changed to$1079.25
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 34.36 changed to 31.15
- Malpractice RVU 1.82 changed to 1.74
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1083.61
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,339.48 | Not available in this setting | RVU26D |
| 2026-07-01 | $1,339.48 | Not available in this setting | RVU26C |
| 2026-04-01 | $1,339.48 | Not available in this setting | RVU26B |
| 2026-01-01 | $1,339.48 | Not available in this setting | RVU26A |
| 2025-10-01 | $1,274.82 | Not available in this setting | RVU25D |
| 2025-07-01 | $1,274.82 | Not available in this setting | RVU25C |
| 2025-04-01 | $1,274.82 | Not available in this setting | RVU25B |
| 2025-01-01 | $1,274.82 | Not available in this setting | RVU25A |
| 2024-10-01 | $1,354.45 | Not available in this setting | RVU24D |
| 2024-07-01 | $1,354.45 | Not available in this setting | RVU24C |
| 2024-04-01 | $1,354.45 | Not available in this setting | RVU24B |
| 2024-03-09 | $1,354.45 | Not available in this setting | RVU24AR |
| 2024-01-01 | $1,332.35 | Not available in this setting | RVU24A |
| 2023-10-01 | $1,398.84 | Not available in this setting | RVU23D |
| 2023-07-01 | $1,391.07 | Not available in this setting | RVU23C |
| 2023-04-01 | $1,391.07 | Not available in this setting | RVU23B |
| 2023-01-01 | $1,391.07 | Not available in this setting | RVU23A |
| 2022-10-01 | $1,472.53 | Not available in this setting | RVU22D |
| 2022-07-01 | $1,472.53 | Not available in this setting | RVU22C |
| 2022-04-01 | $1,472.53 | Not available in this setting | RVU22B |
| 2022-01-01 | $1,472.53 | Not available in this setting | RVU22A |
| 2021-10-01 | $1,520.66 | Not available in this setting | RVU21D |
| 2021-07-01 | $1,520.66 | Not available in this setting | RVU21C |
| 2021-04-01 | $1,520.66 | Not available in this setting | RVU21B |
| 2021-01-01 | $1,520.66 | Not available in this setting | RVU21A |
| 2020-10-01 | $1,488.17 | Not available in this setting | RVU20D |
| 2020-07-01 | $1,488.17 | Not available in this setting | RVU20C |
| 2020-04-01 | $1,488.17 | Not available in this setting | RVU20B |
| 2020-01-01 | $1,488.17 | Not available in this setting | RVU20A |
| 2019-10-01 | $1,451.23 | Not available in this setting | RVU19D |
| 2019-07-01 | $1,451.23 | Not available in this setting | RVU19C |
| 2019-04-01 | $1,451.23 | Not available in this setting | RVU19B |
| 2019-01-01 | $1,451.23 | Not available in this setting | RVU19A |
| 2018-10-01 | $1,423.18 | Not available in this setting | RVU18D |
| 2018-07-01 | $1,423.18 | Not available in this setting | RVU18C |
| 2018-04-01 | $1,423.18 | Not available in this setting | RVU18B |
| 2018-01-01 | $1,423.18 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $1,228.16 | Not available in this setting | RVU17D |
| 2017-07-01 | $1,228.16 | Not available in this setting | RVU17C |
| 2017-04-01 | $1,228.16 | Not available in this setting | RVU17B |
| 2017-01-01 | $1,228.16 | Not available in this setting | RVU17A |
| 2016-10-01 | $1,103.73 | Not available in this setting | RVU16D |
| 2016-07-01 | $1,103.73 | Not available in this setting | RVU16C |
| 2016-04-01 | $1,103.73 | Not available in this setting | RVU16B |
| 2016-01-01 | $1,103.73 | Not available in this setting | RVU16A |
| 2015-10-01 | $1,106.95 | Not available in this setting | RVU15D |
| 2015-07-01 | $1,106.95 | Not available in this setting | RVU15C |
| 2015-04-01 | $1,101.44 | Not available in this setting | RVU15B |
| 2015-01-01 | $1,101.44 | Not available in this setting | RVU15A |
| 2014-10-01 | $1,079.25 | Not available in this setting | RVU14D |
| 2014-07-01 | $1,079.25 | Not available in this setting | RVU14C |
| 2014-04-01 | $1,079.25 | Not available in this setting | RVU14B |
| 2014-01-01 | $1,079.25 | Not available in this setting | RVU14A |
| 2013-10-01 | $1,083.61 | Not available in this setting | RVU13D |
| 2013-07-01 | $1,083.61 | Not available in this setting | RVU13C |
| 2013-04-01 | $1,083.61 | Not available in this setting | RVU13B |
| 2013-01-01 | $1,083.61 | Not available in this setting | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
93461 billing questions
How does 93461 differ from 93460?
93461 includes bypass graft angiography along with coronary angiography and combined right and left heart catheterization. Use 93460 when the service includes coronary angiography but not bypass graft angiography.
Can modifier 26 or TC be reported?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.
Should modifier 50 be appended?
No. The anatomy and service represented by 93461 make modifier 50 inappropriate.
What documentation supports reporting 93461?
Document right- and left-sided catheterization, coronary angiography, and bypass graft angiography, along with the catheter placements and imaging interpretation. Include ventriculography when performed.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in that session are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this service.
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
Fee sheets · Coming soon
Put 93461 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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