Billing code 93563: Coronary angiographyMedicare rate & RVUs
Reports selective coronary angiographic imaging performed during congenital heart catheterization to evaluate coronary anatomy, including coronary origins and course.
Medicare pays $50.44 for 93563 nationally in the office and $44.42 in a hospital or facility. Local office rates run $46.10–$65.21.
Medicare rate · 93563
Coronary angiography
Swap in your local Medicare rate.
- Work RVUs
- 0.98
- Total RVUs
- 1.51
- Global days
- ZZZ
National rate · 2026
$50.44
Office setting, before claim adjustments.
See every locality for 93563 → · 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 93563 covers
During congenital heart catheterization, the physician selectively engages the coronary arteries, injects contrast, and obtains angiographic images for interpretation. A congenital or interventional cardiologist typically performs this work in a cardiac catheterization laboratory. The images may help define coronary anatomy, such as the origin and course of the arteries, in a patient with congenital heart disease.
Report 93563 as an add-on with the primary congenital heart catheterization procedure, not as a stand-alone service. Documentation should identify the congenital catheterization, the selectively imaged coronary arteries, the injection and imaging performed, and the physician’s interpretation. Distinguish native coronary angiography from angiography of bypass grafts, which is described by a different add-on code. Under the CMS rule, payment for 93563 falls within the primary 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 93563 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
$46.10 to $65.21
109 of 109 payment localities
93563 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
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$46.10
$65.21
Color shows the midpoint of each state’s locality range.
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| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $65.21 | 1 |
| AL | $46.57 | 1 |
| AR | $46.10 | 1 |
| AZ | $49.28 | 1 |
| CA | $49.70–$57.02 | 29 |
| CO | $50.45 | 1 |
| CT | $53.16 | 1 |
| DC | $55.01 | 1 |
| DE | $49.91 | 1 |
| FL | $52.58–$59.11 | 3 |
| GA | $50.13–$51.81 | 2 |
| GU | $49.88 | 1 |
| HI | $49.88 | 1 |
| IA | $46.16 | 1 |
| ID | $46.63 | 1 |
| IL | $52.37–$57.65 | 4 |
| IN | $46.79 | 1 |
| KS | $46.60 | 1 |
| KY | $48.61 | 1 |
| LA | $48.79–$50.43 | 2 |
| MA | $50.53–$53.59 | 2 |
| MD | $50.47–$55.01 | 3 |
| ME | $47.43–$48.35 | 2 |
| MI | $50.05–$53.67 | 2 |
| MN | $47.03 | 1 |
| MO | $48.59–$49.85 | 3 |
| MS | $47.32 | 1 |
| MT | $50.42 | 1 |
| NC | $47.68 | 1 |
| ND | $47.26 | 1 |
| NE | $46.16 | 1 |
| NH | $50.27 | 1 |
| NJ | $53.40–$54.84 | 2 |
| NM | $50.48 | 1 |
| NV | $49.56 | 1 |
| NY | $48.23–$59.45 | 5 |
| OH | $49.40 | 1 |
| OK | $47.92 | 1 |
| OR | $48.80–$50.96 | 2 |
| PA | $49.13–$52.56 | 2 |
| PR | $50.49 | 1 |
| RI | $50.89 | 1 |
| SC | $48.69 | 1 |
| SD | $46.89 | 1 |
| TN | $46.84 | 1 |
| TX | $48.94–$52.62 | 8 |
| UT | $49.15 | 1 |
| VA | $48.65–$55.01 | 2 |
| VI | $50.49 | 1 |
| VT | $47.67 | 1 |
| WA | $50.24–$53.90 | 2 |
| WI | $46.22 | 1 |
| WV | $51.12 | 1 |
| WY | $49.05 | 1 |
How the 93563 rate is calculated
Each of 93563’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 · 93563
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.98Practice expense 0.37Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93563
The CMS indicators that decide how 93563 is paid alongside other services.
CMS payment indicators · 93563
Coronary angiography
| 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. |
93563 compared with similar codes
Compare codes
93563 vs 93564 vs 93565 vs 93566: national Medicare rates
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How to choose
- 93564Graft angiography
- Use 93563 for selective coronary artery imaging during congenital catheterization; use 93564 for selective opacification of aortocoronary bypass grafts.
- 93565Cardiac angiography
- 93565 concerns selective left ventricular or left atrial angiography. 93563 concerns coronary angiography.
- 93566Chamber angiography
- 93566 concerns selective right ventricular or right atrial angiography. 93563 concerns coronary angiography.
93563 billing questions
Can 93563 be billed by itself?
No. It is an add-on code and must be reported with a primary congenital heart catheterization procedure.
How does 93563 differ from 93564?
93563 describes selective imaging of the coronary arteries during congenital catheterization. 93564 describes selective opacification of aortocoronary bypass grafts.
Does 93563 describe left- or right-heart chamber angiography?
No. It concerns coronary angiography. Selective left- or right-heart chamber angiography is described by 93565 or 93566, respectively.
What documentation supports reporting 93563?
Document the primary congenital catheterization, selective coronary engagement and contrast imaging, the arteries imaged, and the interpretation of the angiographic findings.
How does CMS treat the payment period for 93563?
CMS treats 93563 as an add-on paid within the global period of the primary procedure.
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
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