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CPT code 93464: Exercise hemodynamics, during cardiac catheterization2026 Medicare rate & RVUs in Washington, DC area

Reports exercise-provoked hemodynamic measurements obtained during cardiac catheterization to evaluate how cardiovascular pressures and output change with exertion.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3K Medicare services in 2024

In Washington, DC area, Medicare pays $255.39 for 93464 in the office.

$255.39Office (non-facility)
Not available in this settingHospital or facility
+14.5%vs the national office rate ($223.12)

Check a contract rate as a % of Medicare · 93464 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 93464 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 93464 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 93464 covers

This add-on captures hemodynamic measurements taken while a patient exercises during cardiac catheterization, commonly using bicycle or arm ergometry. Cardiologists and other physicians performing catheterization may use it when symptoms such as exertional dyspnea are not explained by resting measurements, or when they need to assess exercise-related changes in cardiac filling or pulmonary pressures. Cardiac output may be measured, with or without oxygen-consumption measurement, as part of the exercise assessment.

Report 93464 with the primary cardiac catheterization code for the procedure performed; it is not a stand-alone service. The record should identify the exercise method and document the relevant baseline and exercise measurements and physician interpretation. CMS treats it as an add-on paid within the primary procedure’s global period. The diagnostic test has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service.

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 Washington, DC area compares for 93464

Across 109 of 109 payment localities, the office rate for 93464 runs from $199.14 in Arkansas to $300.10 in San Benito County, CA. Washington, DC area pays $255.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

93464 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$255.39
  2. Los Angeles, CA · California$254.39−$1.00
  3. Miami, FL · Florida$233.33−$22.06
  4. Chicago, IL · Illinois$227.37−$28.02
  5. Manhattan, NY · New York$254.49−$0.90
  6. Alaska · Alaska$261.99+$6.60
  7. Alabama · Alabama$201.85−$53.54

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

93464 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$199.14—
ArizonaArizona$217.76—
Bakersfield, CACalifornia$238.87—
Chico, CACalifornia$238.58—
El Centro, CACalifornia$238.60—
Fresno, CACalifornia$238.58—
Hanford, CACalifornia$238.58—
Madera, CACalifornia$238.58—

93464 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$199.14

$269.34

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

View every state and territory as a table
93464 office rate range by state
State / territoryOffice rate rangeLocalities
AK$261.991
AL$201.851
AR$199.141
AZ$217.761
CA$238.58–$300.1029
CO$233.681
CT$237.261
DC$255.391
DE$221.231
FL$217.17–$233.333
GA$206.07–$226.362
GU$244.331
HI$244.331
IA$207.941
ID$208.931
IL$210.34–$229.714
IN$210.091
KS$206.411
KY$204.941
LA$204.39–$213.882
MA$232.17–$256.702
MD$225.46–$255.393
ME$209.27–$220.802
MI$209.33–$219.052
MN$226.171
MO$200.70–$215.353
MS$199.991
MT$223.111
NC$211.421
ND$221.731
NE$209.191
NH$229.471
NJ$240.60–$252.902
NM$210.141
NV$222.891
NY$214.32–$259.505
OH$209.041
OK$205.261
OR$221.78–$241.442
PA$209.71–$231.272
PR$224.861
RI$229.331
SC$210.461
SD$221.571
TN$207.291
TX$208.37–$232.368
UT$213.161
VA$219.68–$255.392
VI$224.861
VT$220.341
WA$231.91–$262.402
WI$214.701
WV$202.901
WY$222.511

See 93464 in every payment locality

How the 93464 rate is calculated

Each of 93464’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 · 93464

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.76

1.76 RVUs× 1.000 GPCI

Practice expense4.85

4.85 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

6.6800

Conversion factor

$33.4009

Medicare rate

$223.12

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,126

Code
93464
Physician work
1.76
Practice expense
4.85
Malpractice
0.07

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 93464 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0541.8550
Practice expense4.85× 1.1785.7133
Malpractice0.07× 1.1130.0779
Total RVUs7.6462
Conversion factor× 33.4009

Office rate, Washington, DC area$255.39

Office: (1.76 × 1.054 + 4.85 × 1.178 + 0.07 × 1.113) × $33.4009 = $255.39

Open 93464 in the RVU calculator

Payment rules and modifiers for 93464

The CMS indicators that decide how 93464 is paid alongside other services.

CMS payment indicators · 93464

Exercise hemodynamics, during cardiac catheterization

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

93464 without 26 · national office

$223.12

Exercise hemodynamics, during cardiac catheterization

93464-26 · Professional component

$87.51

Pays only the interpretation and report.

When to use modifier 26

Codes related to 93464

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 93464
CodeHow it relatesOffice range, Washington, DC area
Primary code
93451Right heart cath, hemodynamic measurementsA right heart catheterization may serve as the primary procedure for exercise hemodynamic measurements.$992.04
93453Heart catheterization, right and left with ventriculographyCombined right and left heart catheterization may be the primary procedure.$1,286.65
93460Heart catheterization, right and left heart with coronary imagingCombined heart catheterization with coronary angiography may be the primary procedure.$1,388.70
Used instead
93463Drug challenge, with hemodynamic measurementsPharmacologic provocation rather than exercise is used for the hemodynamic assessment.$104.54

How 93464 has changed in Washington, DC area

93464 · Office / nonfacility

$255.39

Effective 2026-10-01

The base rate is $15.44 higher than on 2025-10-01, moving from $239.95 to $255.39 (6.4%).

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

    $239.95changed to$255.39

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.80 changed to 1.76
    • Practice expense RVU 4.48 changed to 4.85
    • Malpractice RVU 0.15 changed to 0.07
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $250.92changed to$239.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.61 changed to 4.48
    • Malpractice RVU 0.12 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $246.82changed to$250.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $259.48changed to$246.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.62 changed to 4.61
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $274.20changed to$259.48

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.75 changed to 4.62
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $289.80changed to$274.20

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.08 changed to 4.75
    • Malpractice RVU 0.10 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $292.64changed to$289.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.99 changed to 5.08
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $295.51changed to$292.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.16 changed to 4.99
    • Malpractice RVU 0.08 changed to 0.10
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $304.73changed to$295.51

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.38 changed to 5.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $302.28changed to$304.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.34 changed to 5.38
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $325.12changed to$302.28

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.87 changed to 5.34
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $326.26changed to$325.12

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.88 changed to 5.87
    • Malpractice RVU 0.08 changed to 0.09

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $324.64changed to$326.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $332.12changed to$324.64

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.80 changed to 5.88
    • Malpractice RVU 0.34 changed to 0.08
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $338.94changed to$332.12

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.40 changed to 5.80
    • Malpractice RVU 0.36 changed to 0.34
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $338.94

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$255.39Not available in this settingRVU26D
2026-07-01$255.39Not available in this settingRVU26C
2026-04-01$255.39Not available in this settingRVU26B
2026-01-01$255.39Not available in this settingRVU26A
2025-10-01$239.95Not available in this settingRVU25D
2025-07-01$239.95Not available in this settingRVU25C
2025-04-01$239.95Not available in this settingRVU25B
2025-01-01$239.95Not available in this settingRVU25A
2024-10-01$250.92Not available in this settingRVU24D
2024-07-01$250.92Not available in this settingRVU24C
2024-04-01$250.92Not available in this settingRVU24B
2024-03-09$250.92Not available in this settingRVU24AR
2024-01-01$246.82Not available in this settingRVU24A
2023-10-01$259.48Not available in this settingRVU23D
2023-07-01$259.48Not available in this settingRVU23C
2023-04-01$259.48Not available in this settingRVU23B
2023-01-01$259.48Not available in this settingRVU23A
2022-10-01$274.20Not available in this settingRVU22D
2022-07-01$274.20Not available in this settingRVU22C
2022-04-01$274.20Not available in this settingRVU22B
2022-01-01$274.20Not available in this settingRVU22A
2021-10-01$289.80Not available in this settingRVU21D
2021-07-01$289.80Not available in this settingRVU21C
2021-04-01$289.80Not available in this settingRVU21B
2021-01-01$289.80Not available in this settingRVU21A
2020-10-01$292.64Not available in this settingRVU20D
2020-07-01$292.64Not available in this settingRVU20C
2020-04-01$292.64Not available in this settingRVU20B
2020-01-01$292.64Not available in this settingRVU20A
2019-10-01$295.51Not available in this settingRVU19D
2019-07-01$295.51Not available in this settingRVU19C
2019-04-01$295.51Not available in this settingRVU19B
2019-01-01$295.51Not available in this settingRVU19A
2018-10-01$304.73Not available in this settingRVU18D
2018-07-01$304.73Not available in this settingRVU18C
2018-04-01$304.73Not available in this settingRVU18B
2018-01-01$304.73Not available in this settingRVU18AR1
2017-10-01$302.28Not available in this settingRVU17D
2017-07-01$302.28Not available in this settingRVU17C
2017-04-01$302.28Not available in this settingRVU17B
2017-01-01$302.28Not available in this settingRVU17A
2016-10-01$325.12Not available in this settingRVU16D
2016-07-01$325.12Not available in this settingRVU16C
2016-04-01$325.12Not available in this settingRVU16B
2016-01-01$325.12Not available in this settingRVU16A
2015-10-01$326.26Not available in this settingRVU15D
2015-07-01$326.26Not available in this settingRVU15C
2015-04-01$324.64Not available in this settingRVU15B
2015-01-01$324.64Not available in this settingRVU15A
2014-10-01$332.12Not available in this settingRVU14D
2014-07-01$332.12Not available in this settingRVU14C
2014-04-01$332.12Not available in this settingRVU14B
2014-01-01$332.12Not available in this settingRVU14A
2013-10-01$338.94Not available in this settingRVU13D
2013-07-01$338.94Not available in this settingRVU13C
2013-04-01$338.94Not available in this settingRVU13B
2013-01-01$338.94Not available in this settingRVU13AR

Price 93464 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

93464 billing questions

Can 93464 be billed by itself?

No. It is an add-on and must be reported with the primary cardiac catheterization code for the procedure performed.

How is 93464 different from 93463?

93464 reports hemodynamic assessment during physiologic exercise, such as bicycle or arm ergometry. 93463 is the related add-on for assessment involving administration of a pharmacologic agent.

Which component modifier should the claim use?

Use modifier 26 for the professional interpretation or TC for the technical service involving equipment and staff. Without a modifier, the claim represents the global service.

What documentation supports reporting 93464?

Document the exercise method, the hemodynamic measurements obtained at rest and during exercise, and the physician’s interpretation of the findings.

Is 93464 paid within the catheterization global period?

Yes. CMS identifies 93464 as an add-on paid within the global period of the primary procedure.

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 93464PPRRVU2026_Oct_nonQPP.csv, line 12,126 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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