Billing code 93462: Left heart cathMedicare rate & RVUs
Reports left-sided cardiac catheterization performed through a transseptal puncture, added to a qualifying diagnostic catheterization when this access is used.
Medicare pays $203.75 for 93462 nationally in the office and $177.02 in a hospital or facility. Local office rates run $181.62–$255.11.
Medicare rate · 93462
Left heart cath
Swap in your local Medicare rate.
- Work RVUs
- 3.64
- Total RVUs
- 6.10
- Global days
- ZZZ
National rate · 2026
$203.75
Office setting, before claim adjustments.
See every locality for 93462 → · 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.
On this page 10 sections
What 93462 covers
This service covers puncturing the interatrial septum and advancing a catheter into the left heart for diagnostic catheterization. A cardiologist typically performs it in a cardiac catheterization laboratory when left-sided pressure or other hemodynamic assessment is needed through transseptal access. The technique may be selected for patients whose anatomy or clinical circumstances make this route appropriate for the planned left heart study.
Report 93462 only with a qualifying primary left heart catheterization code, such as 93452, 93453, or 93458–93461. The record should support the transseptal approach and the left heart catheterization performed, including relevant catheter findings or hemodynamic measurements. CMS classifies 93462 as an add-on code; it is billed with the primary procedure and paid within that procedure’s global period.
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 93462 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$181.62 to $255.11
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $184.60 | $161.22 |
| Alaska* | $255.11 | $226.65 |
| Arizona | $197.95 | $172.06 |
| Arkansas | $182.28 | $159.33 |
| Atlanta | $210.74 | $183.59 |
| Austin | $203.81 | $175.54 |
| Bakersfield | $199.95 | $170.67 |
| Baltimore/Surr. Cntys | $216.40 | $187.73 |
| Beaumont | $196.90 | $172.58 |
| Brazoria | $197.92 | $171.44 |
| Chicago | $242.06 | $215.21 |
| Chico | $197.61 | $168.33 |
| Colorado | $202.33 | $173.90 |
| Connecticut | $216.32 | $187.55 |
| Dallas | $200.55 | $173.93 |
| Dc + Md/Va Suburbs | $223.07 | $191.59 |
| Delaware | $200.81 | $174.41 |
| Detroit | $221.58 | $195.79 |
| East St. Louis | $228.60 | $204.01 |
| El Centro | $197.76 | $168.47 |
| Fort Lauderdale | $227.65 | $200.58 |
| Fort Worth | $200.39 | $174.04 |
| Fresno | $197.61 | $168.33 |
| Galveston | $199.40 | $172.87 |
| Hanford-Corcoran | $197.61 | $168.33 |
| Hawaii, Guam | $198.97 | $168.59 |
| Houston | $215.14 | $188.61 |
| Idaho | $184.33 | $159.75 |
| Indiana | $185.08 | $160.31 |
| Iowa | $181.88 | $157.43 |
| Kansas | $184.37 | $160.21 |
| Kentucky | $195.37 | $171.62 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $208.86 | $177.25 |
| Madera | $197.61 | $168.33 |
| Manhattan | $237.02 | $205.97 |
| Merced | $197.61 | $168.33 |
| Metropolitan Boston | $215.94 | $184.03 |
| Metropolitan Kansas City | $199.82 | $174.73 |
| Metropolitan Philadelphia | $213.67 | $185.85 |
| Metropolitan St. Louis | $201.24 | $175.80 |
| Miami | $249.86 | $222.04 |
| Minnesota | $185.07 | $157.58 |
| Mississippi | $188.82 | $165.81 |
| Modesto | $197.61 | $168.33 |
| Montana** | $203.69 | $176.97 |
| Napa | $214.27 | $179.05 |
| Nebraska | $181.76 | $157.10 |
| Nevada** | $199.00 | $172.25 |
| New Hampshire | $202.35 | $174.53 |
| New Mexico | $205.08 | $180.58 |
| New Orleans | $204.50 | $179.35 |
| North Carolina | $189.80 | $164.86 |
| North Dakota** | $186.68 | $159.96 |
| Northern Nj | $221.91 | $190.91 |
| Nyc Suburbs/Long Island | $246.24 | $214.47 |
| Ohio | $199.33 | $174.93 |
| Oklahoma | $191.62 | $167.76 |
| Oxnard-Thousand Oaks-Ventura | $206.05 | $174.46 |
| Portland | $204.27 | $174.58 |
| Poughkpsie/N Nyc Suburbs | $220.33 | $191.07 |
| Puerto Rico | $203.90 | $176.89 |
| Queens | $233.95 | $202.37 |
| Redding | $197.61 | $168.33 |
| Rest Of California | $197.61 | $168.33 |
| Rest Of Florida | $215.84 | $190.30 |
| Rest Of Georgia | $203.49 | $179.65 |
| Rest Of Illinois | $215.27 | $190.87 |
| Rest Of Louisiana | $196.39 | $172.75 |
| Rest Of Maine | $188.61 | $164.03 |
| Rest Of Maryland | $203.25 | $176.21 |
| Rest Of Massachusetts | $202.69 | $174.56 |
| Rest Of Michigan | $202.80 | $178.41 |
| Rest Of Missouri | $195.62 | $172.59 |
| Rest Of New Jersey | $216.31 | $187.13 |
| Rest Of New York | $192.54 | $167.16 |
| Rest Of Oregon | $195.00 | $168.39 |
| Rest Of Pennsylvania | $197.78 | $173.25 |
| Rest Of Texas | $198.23 | $172.88 |
| Rest Of Washington | $201.29 | $173.16 |
| Rhode Island | $204.72 | $177.11 |
| Riverside-San Bernardino-Ontario | $206.84 | $177.56 |
| Sacramento-Roseville-Folsom | $203.51 | $172.43 |
| Salinas | $202.68 | $171.71 |
| San Diego-Chula Vista-Carlsbad | $204.71 | $172.75 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $221.67 | $183.99 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $220.69 | $183.01 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $227.41 | $188.88 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $223.42 | $184.89 |
| San Luis Obispo-Paso Robles | $199.91 | $169.48 |
| Santa Cruz-Watsonville | $204.46 | $171.99 |
| Santa Maria-Santa Barbara | $202.69 | $171.54 |
| Santa Rosa-Petaluma | $206.25 | $173.44 |
| Seattle (King Cnty) | $216.70 | $183.91 |
| South Carolina | $195.38 | $170.69 |
| South Dakota** | $184.67 | $157.95 |
| Southern Maine | $192.67 | $166.18 |
| Stockton | $197.61 | $168.33 |
| Suburban Chicago | $228.21 | $200.77 |
| Tennessee | $185.58 | $161.29 |
| Utah | $197.61 | $172.49 |
| Vallejo | $212.86 | $177.64 |
| Vermont | $189.02 | $162.57 |
| Virgin Islands | $203.90 | $176.89 |
| Virginia | $194.39 | $168.13 |
| Visalia | $197.61 | $168.33 |
| West Virginia | $209.13 | $185.90 |
| Wisconsin | $181.62 | $156.02 |
| Wyoming** | $196.28 | $169.56 |
| Yuba City | $197.61 | $168.33 |
93462 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$181.62
$255.11
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $255.11 | 1 |
| AL | $184.60 | 1 |
| AR | $182.28 | 1 |
| AZ | $197.95 | 1 |
| CA | $197.61–$227.41 | 29 |
| CO | $202.33 | 1 |
| CT | $216.32 | 1 |
| DC | $223.07 | 1 |
| DE | $200.81 | 1 |
| FL | $215.84–$249.86 | 3 |
| GA | $203.49–$210.74 | 2 |
| GU | $198.97 | 1 |
| HI | $198.97 | 1 |
| IA | $181.88 | 1 |
| ID | $184.33 | 1 |
| IL | $215.27–$242.06 | 4 |
| IN | $185.08 | 1 |
| KS | $184.37 | 1 |
| KY | $195.37 | 1 |
| LA | $196.39–$204.50 | 2 |
| MA | $202.69–$215.94 | 2 |
| MD | $203.25–$223.07 | 3 |
| ME | $188.61–$192.67 | 2 |
| MI | $202.80–$221.58 | 2 |
| MN | $185.07 | 1 |
| MO | $195.62–$201.24 | 3 |
| MS | $188.82 | 1 |
| MT | $203.69 | 1 |
| NC | $189.80 | 1 |
| ND | $186.68 | 1 |
| NE | $181.76 | 1 |
| NH | $202.35 | 1 |
| NJ | $216.31–$221.91 | 2 |
| NM | $205.08 | 1 |
| NV | $199.00 | 1 |
| NY | $192.54–$246.24 | 5 |
| OH | $199.33 | 1 |
| OK | $191.62 | 1 |
| OR | $195.00–$204.27 | 2 |
| PA | $197.78–$213.67 | 2 |
| PR | $203.90 | 1 |
| RI | $204.72 | 1 |
| SC | $195.38 | 1 |
| SD | $184.67 | 1 |
| TN | $185.58 | 1 |
| TX | $196.90–$215.14 | 8 |
| UT | $197.61 | 1 |
| VA | $194.39–$223.07 | 2 |
| VI | $203.90 | 1 |
| VT | $189.02 | 1 |
| WA | $201.29–$216.70 | 2 |
| WI | $181.62 | 1 |
| WV | $209.13 | 1 |
| WY | $196.28 | 1 |
How the 93462 rate is calculated
Each of 93462’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 · 93462
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.64Practice expense 1.60Malpractice 0.86
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93462
The CMS indicators that decide how 93462 is paid alongside other services.
CMS payment indicators · 93462
Left heart cath
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
93462 compared with similar codes
Compare codes
93462 vs 93452 vs 93458 vs 93460: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93452Left heart cath
- 93452 reports a primary left heart catheterization with ventriculography. Report 93462 in addition when the left heart catheterization uses transseptal access.
- 93458Coronary catheterization
- 93458 represents a left heart and coronary angiographic study. 93462 is an add-on for the transseptal approach to the left heart catheterization.
- 93460Heart catheterization
- 93460 represents a combined right and left heart and coronary study. Add 93462 when its left heart catheterization is performed through transseptal access.
93462 billing questions
Can 93462 be billed by itself?
No. It is an add-on for transseptal left heart catheterization and must be reported with a qualifying primary procedure.
Which primary catheterization codes can be paired with 93462?
It may be paired with 93452, 93453, or 93458–93461 when the left heart catheterization is performed through transseptal access.
How is 93462 different from 93458?
93458 represents a left heart and coronary angiographic study. Add 93462 when the left heart catheterization also uses transseptal access.
What should the procedure note support?
Document the transseptal access and the left heart catheterization performed, with pertinent catheter findings or hemodynamic measurements.
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
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