CPT code 93563: Coronary angiography, during congenital catheterization2026 Medicare rate & RVUs in Bakersfield, CA
Reports selective coronary angiographic imaging performed during congenital heart catheterization to evaluate coronary anatomy, including coronary origins and course.
In Bakersfield, CA, Medicare pays $50.15 for 93563 in the office and $43.56 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 93563 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 93563 covers
During congenital heart catheterization, the physician selectively engages the coronary arteries, injects contrast, and obtains angiographic images for interpretation. A congenital or interventional cardiologist typically performs this work in a cardiac catheterization laboratory. The images may help define coronary anatomy, such as the origin and course of the arteries, in a patient with congenital heart disease.
Report 93563 as an add-on with the primary congenital heart catheterization procedure, not as a stand-alone service. Documentation should identify the congenital catheterization, the selectively imaged coronary arteries, the injection and imaging performed, and the physician’s interpretation. Distinguish native coronary angiography from angiography of bypass grafts, which is described by a different add-on code. Under the CMS rule, payment for 93563 falls within the primary procedure’s global period.
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 Bakersfield, CA compares for 93563
Across 109 of 109 payment localities, the office rate for 93563 runs from $46.10 in Arkansas to $65.21 in Alaska. Bakersfield, CA pays $50.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Bakersfield, CA · this page$50.15
- Chico, CA · California$49.70−$0.45
- El Centro, CA · California$49.73−$0.42
- Fresno, CA · California$49.70−$0.45
- Hanford, CA · California$49.70−$0.45
- Los Angeles, CA · California$52.24+$2.09
- Madera, CA · California$49.70−$0.45
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $49.70 | $43.11 |
| Modesto, CACalifornia | $49.70 | $43.11 |
| Napa, CACalifornia | $53.80 | $45.87 |
| Oxnard, CACalifornia | $51.59 | $44.48 |
| Redding, CACalifornia | $49.70 | $43.11 |
| Rest of CaliforniaCalifornia | $49.70 | $43.11 |
| Riverside, CACalifornia | $51.43 | $44.84 |
| Sacramento, CACalifornia | $51.15 | $44.16 |
| Salinas, CACalifornia | $50.94 | $43.97 |
| San Diego, CACalifornia | $51.39 | $44.20 |
| Marin County, CACalifornia | $55.72 | $47.24 |
| San Francisco, CACalifornia | $55.54 | $47.06 |
| San Benito County, CACalifornia | $57.02 | $48.35 |
| Santa Clara County, CACalifornia | $56.28 | $47.61 |
| San Luis Obispo, CACalifornia | $50.23 | $43.38 |
| Santa Cruz, CACalifornia | $51.30 | $44.00 |
| Santa Maria, CACalifornia | $50.92 | $43.91 |
| Santa Rosa, CACalifornia | $51.76 | $44.37 |
| Stockton, CACalifornia | $49.70 | $43.11 |
| Vallejo, CACalifornia | $53.54 | $45.61 |
| Visalia, CACalifornia | $49.70 | $43.11 |
| Yuba City, CACalifornia | $49.70 | $43.11 |
| Washington, DC areaDistrict of Columbia | $55.01 | $47.92 |
| Miami, FLFlorida | $59.11 | $52.85 |
| Chicago, ILIllinois | $57.65 | $51.60 |
| Manhattan, NYNew York | $57.66 | $50.68 |
| AlaskaAlaska | $65.21 | $58.80 |
| AlabamaAlabama | $46.57 | $41.31 |
| ArkansasArkansas | $46.10 | $40.94 |
| ArizonaArizona | $49.28 | $43.46 |
| ColoradoColorado | $50.45 | $44.05 |
| ConnecticutConnecticut | $53.16 | $46.69 |
| DelawareDelaware | $49.91 | $43.97 |
| Fort Lauderdale, FLFlorida | $54.91 | $48.82 |
| Rest of FloridaFlorida | $52.58 | $46.83 |
| Atlanta, GAGeorgia | $51.81 | $45.70 |
| Rest of GeorgiaGeorgia | $50.13 | $44.76 |
| Hawaii, Guam, HIHawaii | $49.88 | $43.04 |
| IowaIowa | $46.16 | $40.66 |
| IdahoIdaho | $46.63 | $41.10 |
| East St. Louis, ILIllinois | $54.87 | $49.33 |
| Rest of IllinoisIllinois | $52.37 | $46.88 |
| Suburban Chicago, ILIllinois | $55.12 | $48.95 |
| IndianaIndiana | $46.79 | $41.21 |
| KansasKansas | $46.60 | $41.16 |
| KentuckyKentucky | $48.61 | $43.26 |
| New Orleans, LALouisiana | $50.43 | $44.78 |
| Rest of LouisianaLouisiana | $48.79 | $43.47 |
| Metropolitan Boston, MAMassachusetts | $53.59 | $46.41 |
| Rest of MassachusettsMassachusetts | $50.53 | $44.20 |
| Baltimore area, MDMaryland | $53.13 | $46.68 |
| Rest of MarylandMaryland | $50.47 | $44.39 |
| Rest of MaineMaine | $47.43 | $41.90 |
| Southern Maine, MEMaine | $48.35 | $42.39 |
| Detroit, MIMichigan | $53.67 | $47.87 |
| Rest of MichiganMichigan | $50.05 | $44.56 |
| MinnesotaMinnesota | $47.03 | $40.84 |
| Metropolitan Kansas City, MOMissouri | $49.56 | $43.91 |
| Metropolitan St. Louis, MOMissouri | $49.85 | $44.13 |
| Rest of MissouriMissouri | $48.59 | $43.41 |
| MississippiMississippi | $47.32 | $42.15 |
| MontanaMontana | $50.42 | $44.41 |
| North CarolinaNorth Carolina | $47.68 | $42.07 |
| North DakotaNorth Dakota | $47.26 | $41.25 |
| NebraskaNebraska | $46.16 | $40.61 |
| New HampshireNew Hampshire | $50.27 | $44.02 |
| Northern New JerseyNew Jersey | $54.84 | $47.86 |
| Rest of New JerseyNew Jersey | $53.40 | $46.83 |
| New MexicoNew Mexico | $50.48 | $44.97 |
| NevadaNevada | $49.56 | $43.54 |
| NYC suburbs and Long Island, NYNew York | $59.45 | $52.30 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $54.20 | $47.62 |
| Queens, NYNew York | $57.14 | $50.04 |
| Rest of New YorkNew York | $48.23 | $42.52 |
| OhioOhio | $49.40 | $43.91 |
| OklahomaOklahoma | $47.92 | $42.55 |
| Portland, OROregon | $50.96 | $44.28 |
| Rest of OregonOregon | $48.80 | $42.81 |
| Metropolitan Philadelphia, PAPennsylvania | $52.56 | $46.30 |
| Rest of PennsylvaniaPennsylvania | $49.13 | $43.61 |
| Puerto RicoPuerto Rico | $50.49 | $44.41 |
| Rhode IslandRhode Island | $50.89 | $44.68 |
| South CarolinaSouth Carolina | $48.69 | $43.14 |
| South DakotaSouth Dakota | $46.89 | $40.87 |
| TennesseeTennessee | $46.84 | $41.37 |
| Austin, TXTexas | $50.61 | $44.25 |
| Beaumont, TXTexas | $48.94 | $43.47 |
| Brazoria, TXTexas | $49.41 | $43.45 |
| Dallas, TXTexas | $49.92 | $43.93 |
| Fort Worth, TXTexas | $49.87 | $43.94 |
| Galveston, TXTexas | $49.69 | $43.72 |
| Houston, TXTexas | $52.62 | $46.65 |
| Rest of TexasTexas | $49.29 | $43.58 |
| UtahUtah | $49.15 | $43.50 |
| VirginiaVirginia | $48.65 | $42.74 |
| Virgin Islands, VIUnited States Virgin Islands | $50.49 | $44.41 |
| VermontVermont | $47.67 | $41.72 |
| Rest of WashingtonWashington | $50.24 | $43.91 |
| King County, WAWashington | $53.90 | $46.52 |
| WisconsinWisconsin | $46.22 | $40.46 |
| West VirginiaWest Virginia | $51.12 | $45.90 |
| WyomingWyoming | $49.05 | $43.03 |
93563 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.
$46.10
$65.21
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 | $65.21 | 1 |
| AL | $46.57 | 1 |
| AR | $46.10 | 1 |
| AZ | $49.28 | 1 |
| CA | $49.70–$57.02 | 29 |
| CO | $50.45 | 1 |
| CT | $53.16 | 1 |
| DC | $55.01 | 1 |
| DE | $49.91 | 1 |
| FL | $52.58–$59.11 | 3 |
| GA | $50.13–$51.81 | 2 |
| GU | $49.88 | 1 |
| HI | $49.88 | 1 |
| IA | $46.16 | 1 |
| ID | $46.63 | 1 |
| IL | $52.37–$57.65 | 4 |
| IN | $46.79 | 1 |
| KS | $46.60 | 1 |
| KY | $48.61 | 1 |
| LA | $48.79–$50.43 | 2 |
| MA | $50.53–$53.59 | 2 |
| MD | $50.47–$55.01 | 3 |
| ME | $47.43–$48.35 | 2 |
| MI | $50.05–$53.67 | 2 |
| MN | $47.03 | 1 |
| MO | $48.59–$49.85 | 3 |
| MS | $47.32 | 1 |
| MT | $50.42 | 1 |
| NC | $47.68 | 1 |
| ND | $47.26 | 1 |
| NE | $46.16 | 1 |
| NH | $50.27 | 1 |
| NJ | $53.40–$54.84 | 2 |
| NM | $50.48 | 1 |
| NV | $49.56 | 1 |
| NY | $48.23–$59.45 | 5 |
| OH | $49.40 | 1 |
| OK | $47.92 | 1 |
| OR | $48.80–$50.96 | 2 |
| PA | $49.13–$52.56 | 2 |
| PR | $50.49 | 1 |
| RI | $50.89 | 1 |
| SC | $48.69 | 1 |
| SD | $46.89 | 1 |
| TN | $46.84 | 1 |
| TX | $48.94–$52.62 | 8 |
| UT | $49.15 | 1 |
| VA | $48.65–$55.01 | 2 |
| VI | $50.49 | 1 |
| VT | $47.67 | 1 |
| WA | $50.24–$53.90 | 2 |
| WI | $46.22 | 1 |
| WV | $51.12 | 1 |
| WY | $49.05 | 1 |
How the 93563 rate is calculated
Each of 93563’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 · 93563
RVUs × geographic indexes × conversion factor
Work0.98
0.98 RVUs× 1.000 GPCI
Practice expense0.37
0.37 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
1.5100
Conversion factor
$33.4009
Medicare rate
$50.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Bakersfield, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,133
- Code
- 93563
- Physician work
- 0.98
- Practice expense
- 0.37
- Malpractice
- 0.16
GPCI2026.csv
8
- Locality
- Bakersfield, CA
- Physician work
- 1.019
- Practice expense
- 1.096
- Malpractice
- 0.609
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.019 | 0.9986 |
| Practice expense | 0.37 | × 1.096 | 0.4055 |
| Malpractice | 0.16 | × 0.609 | 0.0974 |
| Total RVUs | 1.5016 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Bakersfield, CA$50.15
Office: (0.98 × 1.019 + 0.37 × 1.096 + 0.16 × 0.609) × $33.4009 = $50.15
Facility: (0.98 × 1.019 + 0.19 × 1.096 + 0.16 × 0.609) × $33.4009 = $43.56
Payment rules and modifiers for 93563
The CMS indicators that decide how 93563 is paid alongside other services.
CMS payment indicators · 93563
Coronary angiography, during congenital catheterization
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 0 | Physician service: no professional/technical split. |
How 93563 has changed in Bakersfield, CA
93563 · Office / nonfacility
$50.15
Effective 2026-10-01
The base rate is $1.45 higher than on 2025-10-01, moving from $48.70 to $50.15 (3.0%).
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
$48.70changed to$50.15
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.00 changed to 0.98
- Practice expense RVU 0.35 changed to 0.37
- Work GPCI 1.017 changed to 1.019
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.662 changed to 0.609
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$50.11changed to$48.70
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$49.30changed to$50.11
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$51.60changed to$49.30
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.17 changed to 0.16
- Work GPCI 1.027 changed to 1.017
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.694 changed to 0.662
January 1, 2023
RVU23A
$59.31changed to$51.60
- Conversion factor 34.6062 changed to 33.8872
- Work RVU 1.11 changed to 1.00
- Practice expense RVU 0.40 changed to 0.35
- Malpractice RVU 0.19 changed to 0.17
- Work GPCI 1.036 changed to 1.027
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.726 changed to 0.694
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$58.76changed to$59.31
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.39 changed to 0.40
- Malpractice RVU 0.17 changed to 0.19
- Work GPCI 1.035 changed to 1.036
- Malpractice GPCI 0.704 changed to 0.726
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$60.41changed to$58.76
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.38 changed to 0.39
- Malpractice RVU 0.18 changed to 0.17
- Work GPCI 1.032 changed to 1.035
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.677 changed to 0.704
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$59.97changed to$60.41
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.20 changed to 0.18
- Work GPCI 1.020 changed to 1.032
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.618 changed to 0.677
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$59.76changed to$59.97
- Conversion factor 35.9996 changed to 36.0391
- Malpractice GPCI 0.599 changed to 0.618
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$60.10changed to$59.76
- Conversion factor 35.8887 changed to 35.9996
- Malpractice RVU 0.21 changed to 0.20
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.599
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$60.10
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $50.15 | $43.56 | RVU26D |
| 2026-07-01 | $50.15 | $43.56 | RVU26C |
| 2026-04-01 | $50.15 | $43.56 | RVU26B |
| 2026-01-01 | $50.15 | $43.56 | RVU26A |
| 2025-10-01 | $48.70 | $48.70 | RVU25D |
| 2025-07-01 | $48.70 | $48.70 | RVU25C |
| 2025-04-01 | $48.70 | $48.70 | RVU25B |
| 2025-01-01 | $48.70 | $48.70 | RVU25A |
| 2024-10-01 | $50.11 | $50.11 | RVU24D |
| 2024-07-01 | $50.11 | $50.11 | RVU24C |
| 2024-04-01 | $50.11 | $50.11 | RVU24B |
| 2024-03-09 | $50.11 | $50.11 | RVU24AR |
| 2024-01-01 | $49.30 | $49.30 | RVU24A |
| 2023-10-01 | $51.60 | $51.60 | RVU23D |
| 2023-07-01 | $51.60 | $51.60 | RVU23C |
| 2023-04-01 | $51.60 | $51.60 | RVU23B |
| 2023-01-01 | $51.60 | $51.60 | RVU23A |
| 2022-10-01 | $59.31 | $59.31 | RVU22D |
| 2022-07-01 | $59.31 | $59.31 | RVU22C |
| 2022-04-01 | $59.31 | $59.31 | RVU22B |
| 2022-01-01 | $59.31 | $59.31 | RVU22A |
| 2021-10-01 | $58.76 | $58.76 | RVU21D |
| 2021-07-01 | $58.76 | $58.76 | RVU21C |
| 2021-04-01 | $58.76 | $58.76 | RVU21B |
| 2021-01-01 | $58.76 | $58.76 | RVU21A |
| 2020-10-01 | $60.41 | $60.41 | RVU20D |
| 2020-07-01 | $60.41 | $60.41 | RVU20C |
| 2020-04-01 | $60.41 | $60.41 | RVU20B |
| 2020-01-01 | $60.41 | $60.41 | RVU20A |
| 2019-10-01 | $59.97 | $59.97 | RVU19D |
| 2019-07-01 | $59.97 | $59.97 | RVU19C |
| 2019-04-01 | $59.97 | $59.97 | RVU19B |
| 2019-01-01 | $59.97 | $59.97 | RVU19A |
| 2018-10-01 | $59.76 | $59.76 | RVU18D |
| 2018-07-01 | $59.76 | $59.76 | RVU18C |
| 2018-04-01 | $59.76 | $59.76 | RVU18B |
| 2018-01-01 | $59.76 | $59.76 | RVU18AR1 |
| 2017-10-01 | $60.10 | $60.10 | RVU17D |
| 2017-07-01 | $60.10 | $60.10 | RVU17C |
| 2017-04-01 | $60.10 | $60.10 | RVU17B |
| 2017-01-01 | $60.10 | $60.10 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Bakersfield, CA rate applies
Bakersfield, CA is a Medicare payment area, not a city. Our Census mapping connects it to 88 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Bakersfield
- Alta Sierra
- Arvin
- Bakersfield Country Club
- Bear Valley Springs
- Benton Park
- Bodfish
- Boron
93563 billing questions
Can 93563 be billed by itself?
No. It is an add-on code and must be reported with a primary congenital heart catheterization procedure.
How does 93563 differ from 93564?
93563 describes selective imaging of the coronary arteries during congenital catheterization. 93564 describes selective opacification of aortocoronary bypass grafts.
Does 93563 describe left- or right-heart chamber angiography?
No. It concerns coronary angiography. Selective left- or right-heart chamber angiography is described by 93565 or 93566, respectively.
What documentation supports reporting 93563?
Document the primary congenital catheterization, selective coronary engagement and contrast imaging, the arteries imaged, and the interpretation of the angiographic findings.
How does CMS treat the payment period for 93563?
CMS treats 93563 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
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