CPT code 93594: Right-heart catheterization, abnormal native connections2026 Medicare rate & RVUs in North Carolina

CMS doesn’t publish a rate for 93594 in North Carolina.

Check a contract rate as a % of Medicare · 93594 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 93594 covers

93594 reports diagnostic right-heart catheterization in congenital heart disease when native cardiac connections are abnormal. A cardiologist typically performs the study in a cardiac catheterization laboratory, advancing a catheter through the venous circulation to evaluate right-sided and pulmonary artery pressures and other hemodynamics. Its abnormal-connection designation distinguishes it from the normal-connection right-heart catheterization code.

Medicare lists 93594 with physician fee schedule status C: no national payment is published, and the Medicare Administrative Contractor determines payment for each claim. It has a 0-day global period, including same-day preoperative and postoperative care. Modifier 26 identifies professional interpretation, and modifier TC identifies technical services; without either modifier, the claim represents the global service. Standard multiple-procedure reduction applies when qualifying procedures are performed in the same session.

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 North Carolina compares for 93594

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93594 rates by state

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

See 93594 in every payment locality

How the 93594 rate is calculated

Each of 93594’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 93594

The CMS indicators that decide how 93594 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 93594

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

How 93594 has changed in North Carolina

Price 93594 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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