CPT code 93563: Coronary angiography, during congenital catheterization2026 Medicare rate & RVUs in North Dakota
Reports selective coronary angiographic imaging performed during congenital heart catheterization to evaluate coronary anatomy, including coronary origins and course.
In North Dakota, Medicare pays $47.26 for 93563 in the office and $41.25 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 North Dakota 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. North Dakota pays $47.26. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$47.26
- Los Angeles, CA · California$52.24+$4.98
- Washington, DC area · District of Columbia$55.01+$7.75
- Miami, FL · Florida$59.11+$11.85
- Chicago, IL · Illinois$57.65+$10.39
- Manhattan, NY · New York$57.66+$10.40
- Alaska · Alaska$65.21+$17.95
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $46.57 | $41.31 |
| ArkansasArkansas | $46.10 | $40.94 |
| ArizonaArizona | $49.28 | $43.46 |
| Bakersfield, CACalifornia | $50.15 | $43.56 |
| Chico, CACalifornia | $49.70 | $43.11 |
| El Centro, CACalifornia | $49.73 | $43.14 |
| Fresno, CACalifornia | $49.70 | $43.11 |
| Hanford, CACalifornia | $49.70 | $43.11 |
| Madera, CACalifornia | $49.70 | $43.11 |
| 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 |
| 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 |
| 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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 0.37 | × 1.000 | 0.3700 |
| Malpractice | 0.16 | × 0.406 | 0.0650 |
| Total RVUs | 1.4150 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$47.26
Office: (0.98 × 1 + 0.37 × 1 + 0.16 × 0.406) × $33.4009 = $47.26
Facility: (0.98 × 1 + 0.19 × 1 + 0.16 × 0.406) × $33.4009 = $41.25
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 North Dakota
93563 · Office / nonfacility
$47.26
Effective 2026-10-01
The base rate is $0.92 higher than on 2025-10-01, moving from $46.34 to $47.26 (2.0%).
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
$46.34changed to$47.26
- 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
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$47.69changed to$46.34
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$46.91changed to$47.69
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$48.48changed to$46.91
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.17 changed to 0.16
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$55.09changed to$48.48
- 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
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$54.90changed to$55.09
- 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
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$56.92changed to$54.90
- 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
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$57.59changed to$56.92
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.20 changed to 0.18
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$57.53changed to$57.59
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$57.60changed to$57.53
- Conversion factor 35.8887 changed to 35.9996
- Malpractice RVU 0.21 changed to 0.20
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$57.51changed to$57.60
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$57.92changed to$57.51
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.22 changed to 0.21
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$57.63changed to$57.92
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$55.30changed to$57.63
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.10 changed to 0.22
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$53.13changed to$55.30
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.40 changed to 0.38
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $53.13
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $47.26 | $41.25 | RVU26D |
| 2026-07-01 | $47.26 | $41.25 | RVU26C |
| 2026-04-01 | $47.26 | $41.25 | RVU26B |
| 2026-01-01 | $47.26 | $41.25 | RVU26A |
| 2025-10-01 | $46.34 | $46.34 | RVU25D |
| 2025-07-01 | $46.34 | $46.34 | RVU25C |
| 2025-04-01 | $46.34 | $46.34 | RVU25B |
| 2025-01-01 | $46.34 | $46.34 | RVU25A |
| 2024-10-01 | $47.69 | $47.69 | RVU24D |
| 2024-07-01 | $47.69 | $47.69 | RVU24C |
| 2024-04-01 | $47.69 | $47.69 | RVU24B |
| 2024-03-09 | $47.69 | $47.69 | RVU24AR |
| 2024-01-01 | $46.91 | $46.91 | RVU24A |
| 2023-10-01 | $48.48 | $48.48 | RVU23D |
| 2023-07-01 | $48.48 | $48.48 | RVU23C |
| 2023-04-01 | $48.48 | $48.48 | RVU23B |
| 2023-01-01 | $48.48 | $48.48 | RVU23A |
| 2022-10-01 | $55.09 | $55.09 | RVU22D |
| 2022-07-01 | $55.09 | $55.09 | RVU22C |
| 2022-04-01 | $55.09 | $55.09 | RVU22B |
| 2022-01-01 | $55.09 | $55.09 | RVU22A |
| 2021-10-01 | $54.90 | $54.90 | RVU21D |
| 2021-07-01 | $54.90 | $54.90 | RVU21C |
| 2021-04-01 | $54.90 | $54.90 | RVU21B |
| 2021-01-01 | $54.90 | $54.90 | RVU21A |
| 2020-10-01 | $56.92 | $56.92 | RVU20D |
| 2020-07-01 | $56.92 | $56.92 | RVU20C |
| 2020-04-01 | $56.92 | $56.92 | RVU20B |
| 2020-01-01 | $56.92 | $56.92 | RVU20A |
| 2019-10-01 | $57.59 | $57.59 | RVU19D |
| 2019-07-01 | $57.59 | $57.59 | RVU19C |
| 2019-04-01 | $57.59 | $57.59 | RVU19B |
| 2019-01-01 | $57.59 | $57.59 | RVU19A |
| 2018-10-01 | $57.53 | $57.53 | RVU18D |
| 2018-07-01 | $57.53 | $57.53 | RVU18C |
| 2018-04-01 | $57.53 | $57.53 | RVU18B |
| 2018-01-01 | $57.53 | $57.53 | RVU18AR1 |
| 2017-10-01 | $57.60 | $57.60 | RVU17D |
| 2017-07-01 | $57.60 | $57.60 | RVU17C |
| 2017-04-01 | $57.60 | $57.60 | RVU17B |
| 2017-01-01 | $57.60 | $57.60 | RVU17A |
| 2016-10-01 | $57.51 | $57.51 | RVU16D |
| 2016-07-01 | $57.51 | $57.51 | RVU16C |
| 2016-04-01 | $57.51 | $57.51 | RVU16B |
| 2016-01-01 | $57.51 | $57.51 | RVU16A |
| 2015-10-01 | $57.92 | $57.92 | RVU15D |
| 2015-07-01 | $57.92 | $57.92 | RVU15C |
| 2015-04-01 | $57.63 | $57.63 | RVU15B |
| 2015-01-01 | $57.63 | $57.63 | RVU15A |
| 2014-10-01 | $55.30 | $55.30 | RVU14D |
| 2014-07-01 | $55.30 | $55.30 | RVU14C |
| 2014-04-01 | $55.30 | $55.30 | RVU14B |
| 2014-01-01 | $55.30 | $55.30 | RVU14A |
| 2013-10-01 | $53.13 | $53.13 | RVU13D |
| 2013-07-01 | $53.13 | $53.13 | RVU13C |
| 2013-04-01 | $53.13 | $53.13 | RVU13B |
| 2013-01-01 | $53.13 | $53.13 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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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