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CPT code 93582: PDA closure, transcatheter approach2026 Medicare rate & RVUs

Reports catheter-based closure of a patent ductus arteriosus, typically performed by a congenital interventional cardiologist for a clinically significant ductal shunt.

CMS RVU26DEffective Oct 1, 2026109 payment localities23 Medicare services in 2024

Medicare pays $571.49 for 93582 nationally in a facility.

Medicare rate · 93582

PDA closure, transcatheter approach

Office or facility?

Work RVUs
12
Total RVUs
17.11
Global days
000

National rate · 2026

$571.49

Facility setting, before claim adjustments.

See every locality for 93582 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 93582 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 93582 covers

This service closes a patent ductus arteriosus, the persistent connection between the aorta and pulmonary artery, using a catheter-delivered occlusion device. A congenital interventional cardiologist typically performs the procedure in a cardiac catheterization laboratory, using imaging to guide device placement and confirm closure. It is used when the ductal connection warrants intervention, such as when it causes an excessive left-to-right shunt.

Report 93582 for the transcatheter ductal closure, with documentation identifying the PDA, the intervention performed, and the device placement and result. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.

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.

Where 93582 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93582 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$520.53
AlaskaUnavailable$733.72
ArizonaUnavailable$555.37
ArkansasUnavailable$514.45
Atlanta, GAUnavailable$593.16
Austin, TXUnavailable$565.70
Bakersfield, CAUnavailable$548.81
Baltimore area, MDUnavailable$606.08
Beaumont, TXUnavailable$557.95
Brazoria, TXUnavailable$552.93

93582 rates by state

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

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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.

View every state and territory as a table
93582 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 93582 rate is calculated

Each of 93582’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 · 93582

RVUs × geographic indexes × conversion factor

Office or facility?

Work12.00

12.00 RVUs× 1.000 GPCI

Practice expense2.24

2.24 RVUs× 1.000 GPCI

Malpractice2.87

2.87 RVUs× 1.000 GPCI

Adjusted RVUs

17.1100

Conversion factor

$33.4009

Medicare rate

$571.49

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

Payment rules and modifiers for 93582

The CMS indicators that decide how 93582 is paid alongside other services.

CMS payment indicators · 93582

PDA closure, transcatheter approach

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

93582 without 51 · national facility

$571.49

PDA closure, transcatheter approach

93582-51 · Second procedure: 50%

$285.75

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

93582 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 93582

    PDA closure, transcatheter approach12 wRVU

    Not priced

  • 93580

    ASD closure, transcatheter device closure17.52 wRVU

    Not priced

  • 93581

    VSD closure, transcatheter23.78 wRVU

    Not priced

  • 33820

    PDA repair, ligation16.27 wRVU

    Not priced

How to choose

93580ASD closureTranscatheter device closure
Use 93580 for transcatheter closure of an interatrial communication, such as an atrial septal defect; 93582 is for a PDA.
93581VSD closureTranscatheter
Use 93581 for transcatheter closure of a ventricular septal defect. The defect being closed, not simply the catheter-based approach, distinguishes it from 93582.
33820PDA repairLigation
This code describes open surgical PDA repair by division, with or without ligation. 93582 describes catheter-based closure.

Codes related to 93582

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

Codes related to 93582
CodeHow it relatesNational office range
Same family
93580ASD closure, transcatheter device closureTranscatheter closure of an interatrial communication, rather than a patent ductus arteriosus.No office rate
93581VSD closure, transcatheterTranscatheter closure of a ventricular septal defect, rather than a patent ductus arteriosus.No office rate
Used instead
33820PDA repair, ligationOpen surgical repair of a patent ductus arteriosus instead of catheter-delivered closure.No office rate

93582 billing questions

How is 93582 different from 93580 or 93581?

93582 is for catheter-based closure of a patent ductus arteriosus. 93580 addresses an interatrial communication, while 93581 addresses a ventricular septal defect.

What documentation supports reporting 93582?

Document the PDA, the clinical reason for closure, the catheter-based intervention, device placement, and the procedural result.

Is same-day preoperative or postoperative care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple procedure reduction.

Can an assistant be reported for this procedure?

Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.

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 93582PPRRVU2026_Oct_nonQPP.csv, line 12,151 (RVU26D)

Open CMS sourceHow we calculate rates

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