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CPT code 93564: Graft angiography, aortocoronary venous bypass grafts2026 Medicare rate & RVUs in Los Angeles, CA

Reports selective contrast imaging of aortocoronary venous bypass grafts during cardiac catheterization, such as graft assessment in a patient with prior CABG.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Los Angeles, CA, Medicare pays $54.49 for 93564 in the office and $47.38 when it’s performed in a hospital or facility.

$54.49Office (non-facility)
$47.38Hospital or facility
+2.0%vs the national office rate ($53.44)

Check a contract rate as a % of Medicare · 93564 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 93564 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 93564 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 93564 covers

During cardiac catheterization, the cardiologist selectively injects contrast into one or more aortocoronary venous bypass grafts to visualize the grafts and their connections. A common setting is evaluation of graft patency in a patient with prior coronary artery bypass surgery. This is an imaging injection service, not a graft intervention; the catheterization and any treatment are represented by their applicable codes.

Report 93564 only with a primary cardiac catheterization procedure, and only when selective graft opacification is performed. The record should identify the grafts injected and support that selective imaging was carried out and interpreted. This add-on is paid within the primary procedure’s global period. It is not reported as a stand-alone service. When multiple grafts are selectively imaged during the same catheterization, report the add-on for the service rather than treating each graft as a separate unit.

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 Los Angeles, CA compares for 93564

Across 109 of 109 payment localities, the office rate for 93564 runs from $47.61 in Wisconsin to $67.50 in Alaska. Los Angeles, CA pays $54.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

93564 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$54.49
  2. Bakersfield, CA · California$52.26−$2.23
  3. Chico, CA · California$51.63−$2.86
  4. El Centro, CA · California$51.67−$2.82
  5. Fresno, CA · California$51.63−$2.86
  6. Hanford, CA · California$51.63−$2.86
  7. Madera, CA · California$51.63−$2.86

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

Every other payment area

93564 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$51.63$45.04
Modesto, CACalifornia$51.63$45.04
Napa, CACalifornia$55.70$47.77
Oxnard, CACalifornia$53.73$46.62
Redding, CACalifornia$51.63$45.04
Rest of CaliforniaCalifornia$51.63$45.04
Riverside, CACalifornia$54.10$47.51
Sacramento, CACalifornia$53.09$46.10

93564 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.

$47.61

$67.50

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

View every state and territory as a table
93564 office rate range by state
State / territoryOffice rate rangeLocalities
AK$67.501
AL$48.561
AR$47.971
AZ$51.951
CA$51.63–$59.0129
CO$52.951
CT$56.671
DC$58.311
DE$52.681
FL$56.76–$65.693
GA$53.58–$55.282
GU$51.901
HI$51.901
IA$47.761
ID$48.401
IL$56.69–$63.694
IN$48.591
KS$48.441
KY$51.421
LA$51.70–$53.762
MA$53.07–$56.362
MD$53.29–$58.313
ME$49.55–$50.502
MI$53.36–$58.282
MN$48.391
MO$51.54–$52.863
MS$49.721
MT$53.431
NC$49.841
ND$48.881
NE$47.711
NH$52.991
NJ$56.66–$58.052
NM$53.961
NV$52.171
NY$50.54–$64.505
OH$52.431
OK$50.411
OR$51.11–$53.382
PA$52.01–$56.032
PR$53.461
RI$53.651
SC$51.351
SD$48.341
TN$48.761
TX$51.78–$56.518
UT$51.921
VA$50.97–$58.312
VI$53.461
VT$49.521
WA$52.69–$56.512
WI$47.611
WV$55.131
WY$51.441

See 93564 in every payment locality

How the 93564 rate is calculated

Each of 93564’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 · 93564

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.00

1.00 RVUs× 1.000 GPCI

Practice expense0.37

0.37 RVUs× 1.000 GPCI

Malpractice0.23

0.23 RVUs× 1.000 GPCI

Adjusted RVUs

1.6000

Conversion factor

$33.4009

Medicare rate

$53.44

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,134

Code
93564
Physician work
1.00
Practice expense
0.37
Malpractice
0.23

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 93564 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0411.0410
Practice expense0.37× 1.1830.4377
Malpractice0.23× 0.6640.1527
Total RVUs1.6314
Conversion factor× 33.4009

Office rate, Los Angeles, CA$54.49

Office: (1 × 1.041 + 0.37 × 1.183 + 0.23 × 0.664) × $33.4009 = $54.49

Facility: (1 × 1.041 + 0.19 × 1.183 + 0.23 × 0.664) × $33.4009 = $47.38

Open 93564 in the RVU calculator

Payment rules and modifiers for 93564

The CMS indicators that decide how 93564 is paid alongside other services.

CMS payment indicators · 93564

Graft angiography, aortocoronary venous bypass grafts

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/technical0Physician service: no professional/technical split.

Codes related to 93564

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

Codes related to 93564
CodeHow it relatesOffice range, Los Angeles, CA
Add-on codes
93455Coronary angiography, with bypass graft imagingPrimary coronary angiography procedure that includes bypass grafts, without right or left heart catheterization.$1,115.33
93457Cardiac catheterization, right heart, coronaries, bypass graftsPrimary right heart catheterization and coronary angiography procedure that includes bypass grafts.$1,358.07
93459Cardiac catheterization, left heart with bypass graftsPrimary left heart catheterization and coronary angiography procedure that includes bypass grafts.$1,234.83
93461Heart catheterization, bilateral heart and graft imagingPrimary combined right and left heart catheterization with coronary angiography including bypass grafts.$1,508.91
Same family
93563Coronary angiography, during congenital catheterizationRelated catheterization injection add-on for selective native coronary angiography.$52.24
93565Cardiac angiography, left ventricle or atriumRelated catheterization injection add-on for left ventricular or left atrial angiography.$26.81

How 93564 has changed in Los Angeles, CA

93564 · Office / nonfacility

$54.49

Effective 2026-10-01

The base rate is $0.74 higher than on 2025-10-01, moving from $53.75 to $54.49 (1.4%).

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

    $53.75changed to$54.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.03 changed to 1.00
    • Practice expense RVU 0.36 changed to 0.37
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $55.15changed to$53.75

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.35 changed to 0.36
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $54.25changed to$55.15

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $56.17changed to$54.25

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.23 changed to 0.24
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $63.39changed to$56.17

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 1.13 changed to 1.03
    • Practice expense RVU 0.39 changed to 0.35
    • Malpractice RVU 0.25 changed to 0.23
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $63.92changed to$63.39

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $66.05changed to$63.92

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $65.89changed to$66.05

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $65.57changed to$65.89

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $66.72changed to$65.57

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.40 changed to 0.39
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $67.02changed to$66.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.39 changed to 0.40
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $67.59changed to$67.02

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.27 changed to 0.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $67.26changed to$67.59

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $61.41changed to$67.26

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.11 changed to 0.27
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $58.33changed to$61.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.41 changed to 0.39
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$58.33

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$54.49$47.38RVU26D
2026-07-01$54.49$47.38RVU26C
2026-04-01$54.49$47.38RVU26B
2026-01-01$54.49$47.38RVU26A
2025-10-01$53.75$53.75RVU25D
2025-07-01$53.75$53.75RVU25C
2025-04-01$53.75$53.75RVU25B
2025-01-01$53.75$53.75RVU25A
2024-10-01$55.15$55.15RVU24D
2024-07-01$55.15$55.15RVU24C
2024-04-01$55.15$55.15RVU24B
2024-03-09$55.15$55.15RVU24AR
2024-01-01$54.25$54.25RVU24A
2023-10-01$56.17$56.17RVU23D
2023-07-01$56.17$56.17RVU23C
2023-04-01$56.17$56.17RVU23B
2023-01-01$56.17$56.17RVU23A
2022-10-01$63.39$63.39RVU22D
2022-07-01$63.39$63.39RVU22C
2022-04-01$63.39$63.39RVU22B
2022-01-01$63.39$63.39RVU22A
2021-10-01$63.92$63.92RVU21D
2021-07-01$63.92$63.92RVU21C
2021-04-01$63.92$63.92RVU21B
2021-01-01$63.92$63.92RVU21A
2020-10-01$66.05$66.05RVU20D
2020-07-01$66.05$66.05RVU20C
2020-04-01$66.05$66.05RVU20B
2020-01-01$66.05$66.05RVU20A
2019-10-01$65.89$65.89RVU19D
2019-07-01$65.89$65.89RVU19C
2019-04-01$65.89$65.89RVU19B
2019-01-01$65.89$65.89RVU19A
2018-10-01$65.57$65.57RVU18D
2018-07-01$65.57$65.57RVU18C
2018-04-01$65.57$65.57RVU18B
2018-01-01$65.57$65.57RVU18AR1
2017-10-01$66.72$66.72RVU17D
2017-07-01$66.72$66.72RVU17C
2017-04-01$66.72$66.72RVU17B
2017-01-01$66.72$66.72RVU17A
2016-10-01$67.02$67.02RVU16D
2016-07-01$67.02$67.02RVU16C
2016-04-01$67.02$67.02RVU16B
2016-01-01$67.02$67.02RVU16A
2015-10-01$67.59$67.59RVU15D
2015-07-01$67.59$67.59RVU15C
2015-04-01$67.26$67.26RVU15B
2015-01-01$67.26$67.26RVU15A
2014-10-01$61.41$61.41RVU14D
2014-07-01$61.41$61.41RVU14C
2014-04-01$61.41$61.41RVU14B
2014-01-01$61.41$61.41RVU14A
2013-10-01$58.33$58.33RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 93564 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

93564 billing questions

How does 93564 differ from 93563?

93564 captures selective imaging of aortocoronary venous bypass grafts. 93563 is for selective coronary angiography of the native coronary arteries.

Which primary procedure should accompany 93564?

Report it with the applicable cardiac catheterization code, such as 93459 for left heart catheterization with coronary angiography that includes bypass grafts. It is an add-on and cannot stand alone.

Do I report one unit for each graft?

No. The add-on represents selective opacification of one or more aortocoronary venous bypass grafts during the catheterization, rather than a separate unit for every graft.

What documentation supports 93564?

Document the selective graft imaging performed, including which bypass grafts were injected and the resulting imaging interpretation. The record should distinguish graft opacification from imaging of native coronary arteries.

Can 93564 be billed by itself?

No. It must be reported with a primary cardiac catheterization procedure and is paid within that procedure’s global period.

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 93564PPRRVU2026_Oct_nonQPP.csv, line 12,134 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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