CPT code 93591: Leak closure, aortic valve2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $744.39 for 93591 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 93591 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 93591 covers

An interventional cardiologist uses a catheter to deliver a closure device to a paravalvular leak around an aortic valve, often a prosthetic valve. The procedure is generally performed in a hospital catheterization or hybrid laboratory, with imaging used to guide device placement. Patients may have symptoms or complications such as heart failure or hemolysis related to the leak.

Select this code when the treated leak is around the aortic valve; a mitral paravalvular leak is reported with 93590. Document the valve involved, leak location and clinical indication, and the catheter-based closure performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons are permitted, and team surgery requires supporting documentation.

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 Nevada compares for 93591

Across 109 of 109 payment localities, the facility rate for 93591 runs from $712.73 in Arkansas to $1,031.93 in Alaska. Nevada pays $744.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

93591 rates by state

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

See 93591 in every payment locality

How the 93591 rate is calculated

Each of 93591’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 93591

The CMS indicators that decide how 93591 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 93591

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

How 93591 has changed in Nevada

Price 93591 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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