CPT code 93590: Mitral leak closure, paravalvular leak2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $983.48 for 93590 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 93590 nationwide

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

What 93590 covers

An interventional cardiologist uses a catheter-delivered closure device to seal a paravalvular leak around a mitral valve prosthesis. The procedure is performed in a hospital catheterization or hybrid laboratory, typically with imaging guidance to position the device and assess the leak. It addresses leakage around the edge of a previously implanted valve, not a defect in the native valve leaflets or a congenital septal opening.

Report the code when the documented procedure closes a leak associated with a mitral prosthesis; the operative report should identify the valve, leak, access and closure work. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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.

How Washington, DC area compares for 93590

Across 109 of 109 payment localities, the facility rate for 93590 runs from $863.28 in Arkansas to $1,249.05 in Alaska. Washington, DC area pays $983.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

93590 rates by state

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

See 93590 in every payment locality

How the 93590 rate is calculated

Each of 93590’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.

Payment rules and modifiers for 93590

The CMS indicators that decide how 93590 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 93590

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

How 93590 has changed in Washington, DC area

Price 93590 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

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

Open CMS sourceHow we calculate rates