$46.10–$65.21
Use 93563 for selective coronary artery angiography. Use 93565 for selective angiography of the left ventricle or left atrium.
On this page
CMS RVU26D · Effective 2026-10-01
93565 Cardiac angiography Medicare reimbursement rates
Selective left ventricular or left atrial angiography during cardiac catheterization is reported when catheter-directed contrast imaging assesses chamber anatomy or function. Compare 93565 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 93565?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$23.36–$33.16
109 of 109 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 93565 pays more and less
109 payment localities
$23.36 to $33.16
Cardiac catheterization
About 93565: Selective left chamber angiography
Selective left ventricular or left atrial angiography during cardiac catheterization is reported when catheter-directed contrast imaging assesses chamber anatomy or function.
During cardiac catheterization, the cardiologist directs contrast into the left ventricle or left atrium and interprets the resulting angiographic images. The study may help evaluate chamber size, motion, or structural findings when that information is needed during the catheterization. It is typically performed in a hospital cardiac catheterization laboratory by the physician conducting the procedure.
Report 93565 only with an applicable primary cardiac catheterization procedure; it is not a stand-alone service. The record should identify the chamber selectively imaged, the contrast injection, and the clinical findings assessed. Distinguish this left-sided chamber study from injections for coronary arteries, bypass grafts, or right-sided chambers. CMS treats 93565 as an add-on, with payment within the primary procedure's global period.
CMS billing rules for 93565
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.49 · 62%
- Practice expense (office) RVU0.18 · 23%
- Malpractice RVU0.12 · 15%
41
Medicare services in 2024 · #5493 by national volume
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.
93565 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$23.19–$32.78
93566 covers selective angiography of right-sided chambers; 93565 covers left-sided chambers.
$47.61–$67.50
93564 identifies contrast imaging of aortocoronary venous bypass grafts, rather than left ventricular or left atrial angiography.
See how rates vary across the country
93565 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$23.36
$33.16
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $33.16 | 1 |
| AL | $23.90 | 1 |
| AR | $23.60 | 1 |
| AZ | $25.62 | 1 |
| CA | $25.38–$28.98 | 29 |
| CO | $26.09 | 1 |
| CT | $28.02 | 1 |
| DC | $28.79 | 1 |
| DE | $25.99 | 1 |
| FL | $28.14–$32.76 | 3 |
| GA | $26.51–$27.34 | 2 |
| GU | $25.52 | 1 |
| HI | $25.52 | 1 |
| IA | $23.46 | 1 |
| ID | $23.79 | 1 |
| IL | $28.12–$31.72 | 4 |
| IN | $23.89 | 1 |
| KS | $23.82 | 1 |
| KY | $25.38 | 1 |
| LA | $25.53–$26.58 | 2 |
| MA | $26.15–$27.78 | 2 |
| MD | $26.29–$28.79 | 3 |
| ME | $24.39–$24.85 | 2 |
| MI | $26.38–$28.93 | 2 |
| MN | $23.74 | 1 |
| MO | $25.45–$26.11 | 3 |
| MS | $24.50 | 1 |
| MT | $26.38 | 1 |
| NC | $24.54 | 1 |
| ND | $24.01 | 1 |
| NE | $23.43 | 1 |
| NH | $26.13 | 1 |
| NJ | $27.98–$28.65 | 2 |
| NM | $26.69 | 1 |
| NV | $25.72 | 1 |
| NY | $24.90–$32.01 | 5 |
| OH | $25.90 | 1 |
| OK | $24.85 | 1 |
| OR | $25.17–$26.29 | 2 |
| PA | $25.67–$27.70 | 2 |
| PR | $26.39 | 1 |
| RI | $26.46 | 1 |
| SC | $25.33 | 1 |
| SD | $23.73 | 1 |
| TN | $23.98 | 1 |
| TX | $25.56–$27.98 | 8 |
| UT | $25.62 | 1 |
| VA | $25.11–$28.79 | 2 |
| VI | $26.39 | 1 |
| VT | $24.35 | 1 |
| WA | $25.96–$27.84 | 2 |
| WI | $23.36 | 1 |
| WV | $27.33 | 1 |
| WY | $25.34 | 1 |
Compare 93565 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $23.90 | Facility $21.27 |
| Alaska* | Office $33.16 | Facility $29.96 |
| Arizona | Office $25.62 | Facility $22.71 |
| Arkansas | Office $23.60 | Facility $21.01 |
| Atlanta | Office $27.34 | Facility $24.28 |
| Austin | Office $26.31 | Facility $23.13 |
| Bakersfield | Office $25.71 | Facility $22.41 |
| Baltimore/Surr. Cntys | Office $28.04 | Facility $24.81 |
| Beaumont | Office $25.56 | Facility $22.83 |
| Brazoria | Office $25.58 | Facility $22.60 |
| Chicago | Office $31.72 | Facility $28.70 |
| Chico | Office $25.38 | Facility $22.09 |
| Colorado | Office $26.09 | Facility $22.89 |
| Connecticut | Office $28.02 | Facility $24.78 |
| Dallas | Office $25.94 | Facility $22.95 |
| Dc + Md/Va Suburbs | Office $28.79 | Facility $25.25 |
| Delaware | Office $25.99 | Facility $23.02 |
| Detroit | Office $28.93 | Facility $26.02 |
| East St. Louis | Office $29.97 | Facility $27.20 |
| El Centro | Office $25.40 | Facility $22.11 |
| Fort Lauderdale | Office $29.70 | Facility $26.66 |
| Fort Worth | Office $25.93 | Facility $22.97 |
| Fresno | Office $25.38 | Facility $22.09 |
| Galveston | Office $25.79 | Facility $22.80 |
| Hanford-Corcoran | Office $25.38 | Facility $22.09 |
| Hawaii, Guam | Office $25.52 | Facility $22.11 |
| Houston | Office $27.98 | Facility $25.00 |
| Idaho | Office $23.79 | Facility $21.03 |
| Indiana | Office $23.89 | Facility $21.10 |
| Iowa | Office $23.46 | Facility $20.71 |
| Kansas | Office $23.82 | Facility $21.10 |
| Kentucky | Office $25.38 | Facility $22.71 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $26.81 | Facility $23.26 |
| Madera | Office $25.38 | Facility $22.09 |
| Manhattan | Office $30.76 | Facility $27.26 |
| Merced | Office $25.38 | Facility $22.09 |
| Metropolitan Boston | Office $27.78 | Facility $24.19 |
| Metropolitan Kansas City | Office $25.93 | Facility $23.11 |
| Metropolitan Philadelphia | Office $27.70 | Facility $24.57 |
| Metropolitan St. Louis | Office $26.11 | Facility $23.24 |
| Miami | Office $32.76 | Facility $29.63 |
| Minnesota | Office $23.74 | Facility $20.65 |
| Mississippi | Office $24.50 | Facility $21.92 |
| Modesto | Office $25.38 | Facility $22.09 |
| Montana** | Office $26.38 | Facility $23.37 |
| Napa | Office $27.36 | Facility $23.40 |
| Nebraska | Office $23.43 | Facility $20.66 |
| Nevada** | Office $25.72 | Facility $22.71 |
| New Hampshire | Office $26.13 | Facility $23.00 |
| New Mexico | Office $26.69 | Facility $23.94 |
| New Orleans | Office $26.58 | Facility $23.75 |
| North Carolina | Office $24.54 | Facility $21.73 |
| North Dakota** | Office $24.01 | Facility $21.00 |
| Northern Nj | Office $28.65 | Facility $25.17 |
| Nyc Suburbs/Long Island | Office $32.01 | Facility $28.43 |
| Ohio | Office $25.90 | Facility $23.15 |
| Oklahoma | Office $24.85 | Facility $22.17 |
| Oxnard-Thousand Oaks-Ventura | Office $26.43 | Facility $22.87 |
| Portland | Office $26.29 | Facility $22.95 |
| Poughkpsie/N Nyc Suburbs | Office $28.54 | Facility $25.24 |
| Puerto Rico | Office $26.39 | Facility $23.35 |
| Queens | Office $30.30 | Facility $26.75 |
| Redding | Office $25.38 | Facility $22.09 |
| Rest Of California | Office $25.38 | Facility $22.09 |
| Rest Of Florida | Office $28.14 | Facility $25.26 |
| Rest Of Georgia | Office $26.51 | Facility $23.83 |
| Rest Of Illinois | Office $28.12 | Facility $25.38 |
| Rest Of Louisiana | Office $25.53 | Facility $22.87 |
| Rest Of Maine | Office $24.39 | Facility $21.63 |
| Rest Of Maryland | Office $26.29 | Facility $23.25 |
| Rest Of Massachusetts | Office $26.15 | Facility $22.99 |
| Rest Of Michigan | Office $26.38 | Facility $23.64 |
| Rest Of Missouri | Office $25.45 | Facility $22.86 |
| Rest Of New Jersey | Office $27.98 | Facility $24.70 |
| Rest Of New York | Office $24.90 | Facility $22.04 |
| Rest Of Oregon | Office $25.17 | Facility $22.18 |
| Rest Of Pennsylvania | Office $25.67 | Facility $22.91 |
| Rest Of Texas | Office $25.69 | Facility $22.84 |
| Rest Of Washington | Office $25.96 | Facility $22.79 |
| Rhode Island | Office $26.46 | Facility $23.36 |
| Riverside-San Bernardino-Ontario | Office $26.67 | Facility $23.37 |
| Sacramento-Roseville-Folsom | Office $26.10 | Facility $22.60 |
| Salinas | Office $25.99 | Facility $22.51 |
| San Diego-Chula Vista-Carlsbad | Office $26.22 | Facility $22.63 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $28.24 | Facility $24.00 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $28.10 | Facility $23.86 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $28.98 | Facility $24.65 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $28.43 | Facility $24.09 |
| San Luis Obispo-Paso Robles | Office $25.64 | Facility $22.22 |
| Santa Cruz-Watsonville | Office $26.16 | Facility $22.51 |
| Santa Maria-Santa Barbara | Office $25.98 | Facility $22.48 |
| Santa Rosa-Petaluma | Office $26.39 | Facility $22.70 |
| Seattle (King Cnty) | Office $27.84 | Facility $24.15 |
| South Carolina | Office $25.33 | Facility $22.55 |
| South Dakota** | Office $23.73 | Facility $20.72 |
| Southern Maine | Office $24.85 | Facility $21.87 |
| Stockton | Office $25.38 | Facility $22.09 |
| Suburban Chicago | Office $29.76 | Facility $26.67 |
| Tennessee | Office $23.98 | Facility $21.25 |
| Utah | Office $25.62 | Facility $22.79 |
| Vallejo | Office $27.16 | Facility $23.20 |
| Vermont | Office $24.35 | Facility $21.37 |
| Virgin Islands | Office $26.39 | Facility $23.35 |
| Virginia | Office $25.11 | Facility $22.15 |
| Visalia | Office $25.38 | Facility $22.09 |
| West Virginia | Office $27.33 | Facility $24.71 |
| Wisconsin | Office $23.36 | Facility $20.48 |
| Wyoming** | Office $25.34 | Facility $22.34 |
| Yuba City | Office $25.38 | Facility $22.09 |
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93565 billing questions
Can 93565 be reported by itself?
No. It is an add-on for selective left ventricular or left atrial angiography performed during a primary cardiac catheterization procedure.
How does 93565 differ from 93563?
93565 describes selective imaging of the left ventricle or left atrium. 93563 is for selective coronary angiography.
How does 93565 differ from 93566?
93565 is for the left ventricle or left atrium; 93566 is for the right ventricle or right atrium.
What documentation supports reporting 93565?
Document which left-sided chamber was selectively injected, the contrast imaging performed, and the findings interpreted. The record should support a distinct chamber angiography service during the catheterization.
Is 93565 reported with a primary cardiac catheterization code?
Yes. Report it with the applicable primary catheterization procedure when the selective left ventricular or left atrial angiography is performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,13293505,TC,Endomyocardial biopsy,A,,0.00,12.85,,12.85,NA,0.02,12.87,12.87,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,13393563,,Njx cgen car cth slctv c ang,A,,0.98,0.37,,0.19,,0.16,1.51,1.33,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13493564,,Njx cgen car cath slctv opac,A,,1.00,0.37,,0.19,,0.23,1.60,1.42,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13593565,,Njx car cth slctv lv/la ang,A,,0.49,0.18,,0.09,,0.12,0.79,0.70,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13693566,,Njx car cth slctv rv/ra ang,A,,0.49,0.19,,0.10,,0.08,0.76,0.67,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13793567,,Njx car cth sprvlv aortgrphy,A,,0.68,0.26,,0.13,,0.16,1.10,0.97,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13893568,,Njx car cth nslc p-art angrp,A,,0.86,0.33,,0.17,,0.18,1.37,1.21,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00