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CPT code 93565: Cardiac angiography, left ventricle or atrium2026 Medicare rate & RVUs in Washington, DC area

Selective left ventricular or left atrial angiography during cardiac catheterization is reported when catheter-directed contrast imaging assesses chamber anatomy or function.

CMS RVU26DEffective Oct 1, 2026One payment locality41 Medicare services in 2024

In Washington, DC area, Medicare pays $28.79 for 93565 in the office and $25.25 when it’s performed in a hospital or facility.

$28.79Office (non-facility)
$25.25Hospital or facility
+9.1%vs the national office rate ($26.39)

Check a contract rate as a % of Medicare · 93565 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 93565 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 93565 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 93565 covers

During cardiac catheterization, the cardiologist directs contrast into the left ventricle or left atrium and interprets the resulting angiographic images. The study may help evaluate chamber size, motion, or structural findings when that information is needed during the catheterization. It is typically performed in a hospital cardiac catheterization laboratory by the physician conducting the procedure.

Report 93565 only with an applicable primary cardiac catheterization procedure; it is not a stand-alone service. The record should identify the chamber selectively imaged, the contrast injection, and the clinical findings assessed. Distinguish this left-sided chamber study from injections for coronary arteries, bypass grafts, or right-sided chambers. CMS treats 93565 as an add-on, with payment 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 Washington, DC area compares for 93565

Across 109 of 109 payment localities, the office rate for 93565 runs from $23.36 in Wisconsin to $33.16 in Alaska. Washington, DC area pays $28.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

93565 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$28.79
  2. Los Angeles, CA · California$26.81−$1.98
  3. Miami, FL · Florida$32.76+$3.97
  4. Chicago, IL · Illinois$31.72+$2.93
  5. Manhattan, NY · New York$30.76+$1.97
  6. Alaska · Alaska$33.16+$4.37
  7. Alabama · Alabama$23.90−$4.89

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

Every other payment area

93565 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$23.60$21.01
ArizonaArizona$25.62$22.71
Bakersfield, CACalifornia$25.71$22.41
Chico, CACalifornia$25.38$22.09
El Centro, CACalifornia$25.40$22.11
Fresno, CACalifornia$25.38$22.09
Hanford, CACalifornia$25.38$22.09
Madera, CACalifornia$25.38$22.09

93565 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.

$23.36

$33.16

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

View every state and territory as a table
93565 office rate range by state
State / territoryOffice rate rangeLocalities
AK$33.161
AL$23.901
AR$23.601
AZ$25.621
CA$25.38–$28.9829
CO$26.091
CT$28.021
DC$28.791
DE$25.991
FL$28.14–$32.763
GA$26.51–$27.342
GU$25.521
HI$25.521
IA$23.461
ID$23.791
IL$28.12–$31.724
IN$23.891
KS$23.821
KY$25.381
LA$25.53–$26.582
MA$26.15–$27.782
MD$26.29–$28.793
ME$24.39–$24.852
MI$26.38–$28.932
MN$23.741
MO$25.45–$26.113
MS$24.501
MT$26.381
NC$24.541
ND$24.011
NE$23.431
NH$26.131
NJ$27.98–$28.652
NM$26.691
NV$25.721
NY$24.90–$32.015
OH$25.901
OK$24.851
OR$25.17–$26.292
PA$25.67–$27.702
PR$26.391
RI$26.461
SC$25.331
SD$23.731
TN$23.981
TX$25.56–$27.988
UT$25.621
VA$25.11–$28.792
VI$26.391
VT$24.351
WA$25.96–$27.842
WI$23.361
WV$27.331
WY$25.341

See 93565 in every payment locality

How the 93565 rate is calculated

Each of 93565’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 · 93565

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.49

0.49 RVUs× 1.000 GPCI

Practice expense0.18

0.18 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

0.7900

Conversion factor

$33.4009

Medicare rate

$26.39

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

12,135

Code
93565
Physician work
0.49
Practice expense
0.18
Malpractice
0.12

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 93565 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0540.5165
Practice expense0.18× 1.1780.2120
Malpractice0.12× 1.1130.1336
Total RVUs0.8621
Conversion factor× 33.4009

Office rate, Washington, DC area$28.79

Office: (0.49 × 1.054 + 0.18 × 1.178 + 0.12 × 1.113) × $33.4009 = $28.79

Facility: (0.49 × 1.054 + 0.09 × 1.178 + 0.12 × 1.113) × $33.4009 = $25.25

Open 93565 in the RVU calculator

Payment rules and modifiers for 93565

The CMS indicators that decide how 93565 is paid alongside other services.

CMS payment indicators · 93565

Cardiac angiography, left ventricle or atrium

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 93565

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

Codes related to 93565
CodeHow it relatesOffice range, Washington, DC area
Add-on codes
93458Coronary catheterization, left heart, native coronariesLeft heart catheterization with coronary angiography may be the primary procedure when applicable.$1,164.76
Same family
93563Coronary angiography, during congenital catheterizationAdd-on injection imaging of the coronary arteries.$55.01
93564Graft angiography, aortocoronary venous bypass graftsAdd-on injection imaging of aortocoronary venous bypass grafts.$58.31
93566Chamber angiography, right atrium or ventricleAdd-on injection imaging of the right ventricle or right atrium.$27.70
93567Aortic angiography, supravalvular injectionAdd-on imaging of the aorta above the aortic valve.$40.12

How 93565 has changed in Washington, DC area

93565 · Office / nonfacility

$28.79

Effective 2026-10-01

The base rate is $0.23 higher than on 2025-10-01, moving from $28.56 to $28.79 (0.8%).

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

    $28.56changed to$28.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.17 changed to 0.18
    • Malpractice RVU 0.13 changed to 0.12
    • 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

    $29.00changed to$28.56

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $28.53changed to$29.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $29.89changed to$28.53

    • Conversion factor 33.8872 changed to 32.7442
    • 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

    $53.16changed to$29.89

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 0.86 changed to 0.50
    • Practice expense RVU 0.30 changed to 0.17
    • Malpractice RVU 0.20 changed to 0.12
    • 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

    $50.89changed to$53.16

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.14 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $51.77changed to$50.89

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.13 changed to 0.14
    • 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

    $52.23changed to$51.77

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.15 changed to 0.13
    • 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

    $52.18changed to$52.23

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $52.62changed to$52.18

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.16 changed to 0.15
    • 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

    $53.10changed to$52.62

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.17 changed to 0.16
    • 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

    $53.72changed to$53.10

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.31 changed to 0.30

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $53.45changed to$53.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $48.72changed to$53.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.30 changed to 0.31
    • Malpractice RVU 0.08 changed to 0.17
    • 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

    $46.40changed to$48.72

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.31 changed to 0.30
    • 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: $46.40

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$28.79$25.25RVU26D
2026-07-01$28.79$25.25RVU26C
2026-04-01$28.79$25.25RVU26B
2026-01-01$28.79$25.25RVU26A
2025-10-01$28.56$28.56RVU25D
2025-07-01$28.56$28.56RVU25C
2025-04-01$28.56$28.56RVU25B
2025-01-01$28.56$28.56RVU25A
2024-10-01$29.00$29.00RVU24D
2024-07-01$29.00$29.00RVU24C
2024-04-01$29.00$29.00RVU24B
2024-03-09$29.00$29.00RVU24AR
2024-01-01$28.53$28.53RVU24A
2023-10-01$29.89$29.89RVU23D
2023-07-01$29.89$29.89RVU23C
2023-04-01$29.89$29.89RVU23B
2023-01-01$29.89$29.89RVU23A
2022-10-01$53.16$53.16RVU22D
2022-07-01$53.16$53.16RVU22C
2022-04-01$53.16$53.16RVU22B
2022-01-01$53.16$53.16RVU22A
2021-10-01$50.89$50.89RVU21D
2021-07-01$50.89$50.89RVU21C
2021-04-01$50.89$50.89RVU21B
2021-01-01$50.89$50.89RVU21A
2020-10-01$51.77$51.77RVU20D
2020-07-01$51.77$51.77RVU20C
2020-04-01$51.77$51.77RVU20B
2020-01-01$51.77$51.77RVU20A
2019-10-01$52.23$52.23RVU19D
2019-07-01$52.23$52.23RVU19C
2019-04-01$52.23$52.23RVU19B
2019-01-01$52.23$52.23RVU19A
2018-10-01$52.18$52.18RVU18D
2018-07-01$52.18$52.18RVU18C
2018-04-01$52.18$52.18RVU18B
2018-01-01$52.18$52.18RVU18AR1
2017-10-01$52.62$52.62RVU17D
2017-07-01$52.62$52.62RVU17C
2017-04-01$52.62$52.62RVU17B
2017-01-01$52.62$52.62RVU17A
2016-10-01$53.10$53.10RVU16D
2016-07-01$53.10$53.10RVU16C
2016-04-01$53.10$53.10RVU16B
2016-01-01$53.10$53.10RVU16A
2015-10-01$53.72$53.72RVU15D
2015-07-01$53.72$53.72RVU15C
2015-04-01$53.45$53.45RVU15B
2015-01-01$53.45$53.45RVU15A
2014-10-01$48.72$48.72RVU14D
2014-07-01$48.72$48.72RVU14C
2014-04-01$48.72$48.72RVU14B
2014-01-01$48.72$48.72RVU14A
2013-10-01$46.40$46.40RVU13D
2013-07-01$46.40$46.40RVU13C
2013-04-01$46.40$46.40RVU13B
2013-01-01$46.40$46.40RVU13AR

Price 93565 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

93565 billing questions

Can 93565 be reported by itself?

No. It is an add-on for selective left ventricular or left atrial angiography performed during a primary cardiac catheterization procedure.

How does 93565 differ from 93563?

93565 describes selective imaging of the left ventricle or left atrium. 93563 is for selective coronary angiography.

How does 93565 differ from 93566?

93565 is for the left ventricle or left atrium; 93566 is for the right ventricle or right atrium.

What documentation supports reporting 93565?

Document which left-sided chamber was selectively injected, the contrast imaging performed, and the findings interpreted. The record should support a distinct chamber angiography service during the catheterization.

Is 93565 reported with a primary cardiac catheterization code?

Yes. Report it with the applicable primary catheterization procedure when the selective left ventricular or left atrial angiography is performed.

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 93565PPRRVU2026_Oct_nonQPP.csv, line 12,135 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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