CPT code 93595: Left heart cath, congenital heart disease2026 Medicare rate & RVUs in Washington, DC area

CMS doesn’t publish a rate for 93595 in Washington, DC area.

Check a contract rate as a % of Medicare · 93595 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 93595 covers

This service is left-heart catheterization performed to evaluate congenital heart disease, whether native cardiac connections are normal or abnormal. A cardiologist advances a catheter to the left side of the heart to assess pressures and cardiac hemodynamics, typically in a hospital catheterization laboratory. It is distinct from right-heart-only catheterization and from combined right- and left-heart catheterization; the combined codes also distinguish native-connection status.

Medicare assigns physician fee schedule status C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The service has professional and technical components. Modifier 26 identifies the professional interpretation; modifier TC identifies equipment and staff; billing without either modifier represents the global service. Its 0-day global period includes same-day preoperative and postoperative care.

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 93595

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93595 rates by state

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

See 93595 in every payment locality

How the 93595 rate is calculated

Each of 93595’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 93595

The CMS indicators that decide how 93595 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 93595

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

How 93595 has changed in Washington, DC area

Price 93595 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

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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