No office rate
93584 is selected for venography involving anomalous pulmonary venous return or a persistent superior vena cava. Use 93586 when the coronary sinus is the imaged structure.
On this page
CMS RVU26D · Effective 2026-10-01
93586 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$59.84
Base rate per service
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.
Cardiac catheterization
About 93586: Congenital coronary sinus venography
Maps the coronary sinus during congenital heart catheterization when imaging of this venous structure is needed to define cardiac anatomy or venous connections.
This add-on describes venographic imaging of the coronary sinus during evaluation of congenital heart disease. A congenital or interventional cardiologist typically performs it in a cardiac catheterization laboratory, using catheter-based contrast imaging to show the coronary sinus and its connections. The service includes catheter placement and the imaging supervision and interpretation associated with that venography.
Select this code when the coronary sinus is the venous structure imaged; other congenital venography codes identify different sites or collateral pathways. The report should support the need for coronary sinus imaging and document the anatomy evaluated and findings. Code 93586 is reported only with an eligible primary congenital cardiac catheterization procedure, such as codes 93593–93597, and is paid within that primary procedure's global period.
CMS billing rules for 93586
- 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 RVU1.39 · 78%
- Practice expense (office) RVU0.31 · 17%
- Malpractice RVU0.08 · 4%
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.
93586 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
93585 focuses on the azygos or hemiazygos venous system, rather than coronary sinus anatomy.
No office rate
93587 describes venovenous collateral imaging at or above the atrial level. 93586 identifies coronary sinus venography.
No office rate
93588 is for venovenous collaterals below the atrial level, not imaging directed at the coronary sinus.
The same code, a different location
How does Austin compare?
93586 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 93586
Office
Unavailable
Facility
$58.67
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 93586
Office
Unavailable
Facility
$62.35
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 93586
Office
Unavailable
Facility
$64.11
No comparable office rate is available.
Miami
Florida · 93586
Office
Unavailable
Facility
$63.96
No comparable office rate is available.
Chicago
Illinois · 93586
Office
Unavailable
Facility
$63.29
No comparable office rate is available.
Manhattan
New York · 93586
Office
Unavailable
Facility
$65.67
No comparable office rate is available.
Alaska*
Alaska · 93586
Office
Unavailable
Facility
$82.14
No comparable office rate is available.
Alabama
Alabama · 93586
Office
Unavailable
Facility
$57.00
No comparable office rate is available.
Arkansas
Arkansas · 93586
Office
Unavailable
Facility
$56.70
No comparable office rate is available.
Arizona
Arizona · 93586
Office
Unavailable
Facility
$58.75
No comparable office rate is available.
Bakersfield
California · 93586
Office
Unavailable
Facility
$60.28
No comparable office rate is available.
Chico
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
El Centro
California · 93586
Office
Unavailable
Facility
$60.01
No comparable office rate is available.
Fresno
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Hanford-Corcoran
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Madera
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Merced
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Modesto
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Napa
California · 93586
Office
Unavailable
Facility
$64.36
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 93586
Office
Unavailable
Facility
$61.63
No comparable office rate is available.
Redding
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Rest Of California
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 93586
Office
Unavailable
Facility
$60.89
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 93586
Office
Unavailable
Facility
$61.57
No comparable office rate is available.
Salinas
California · 93586
Office
Unavailable
Facility
$61.30
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 93586
Office
Unavailable
Facility
$61.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 93586
Office
Unavailable
Facility
$66.66
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 93586
Office
Unavailable
Facility
$66.57
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 93586
Office
Unavailable
Facility
$67.90
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 93586
Office
Unavailable
Facility
$67.53
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 93586
Office
Unavailable
Facility
$60.44
No comparable office rate is available.
Santa Cruz-Watsonville
California · 93586
Office
Unavailable
Facility
$61.41
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 93586
Office
Unavailable
Facility
$61.23
No comparable office rate is available.
Santa Rosa-Petaluma
California · 93586
Office
Unavailable
Facility
$61.97
No comparable office rate is available.
Stockton
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Vallejo
California · 93586
Office
Unavailable
Facility
$64.23
No comparable office rate is available.
Visalia
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Yuba City
California · 93586
Office
Unavailable
Facility
$60.00
No comparable office rate is available.
Colorado
Colorado · 93586
Office
Unavailable
Facility
$60.09
No comparable office rate is available.
Connecticut
Connecticut · 93586
Office
Unavailable
Facility
$61.74
No comparable office rate is available.
Delaware
Delaware · 93586
Office
Unavailable
Facility
$59.29
No comparable office rate is available.
Fort Lauderdale
Florida · 93586
Office
Unavailable
Facility
$61.75
No comparable office rate is available.
Rest Of Florida
Florida · 93586
Office
Unavailable
Facility
$60.34
No comparable office rate is available.
Atlanta
Georgia · 93586
Office
Unavailable
Facility
$60.30
No comparable office rate is available.
Rest Of Georgia
Georgia · 93586
Office
Unavailable
Facility
$58.85
No comparable office rate is available.
Hawaii, Guam
Hawaii · 93586
Office
Unavailable
Facility
$59.75
No comparable office rate is available.
Iowa
Iowa · 93586
Office
Unavailable
Facility
$56.96
No comparable office rate is available.
Idaho
Idaho · 93586
Office
Unavailable
Facility
$57.22
No comparable office rate is available.
East St. Louis
Illinois · 93586
Office
Unavailable
Facility
$61.33
No comparable office rate is available.
Rest Of Illinois
Illinois · 93586
Office
Unavailable
Facility
$60.06
No comparable office rate is available.
Suburban Chicago
Illinois · 93586
Office
Unavailable
Facility
$62.12
No comparable office rate is available.
Indiana
Indiana · 93586
Office
Unavailable
Facility
$57.32
No comparable office rate is available.
Kansas
Kansas · 93586
Office
Unavailable
Facility
$57.13
No comparable office rate is available.
Kentucky
Kentucky · 93586
Office
Unavailable
Facility
$58.08
No comparable office rate is available.
New Orleans
Louisiana · 93586
Office
Unavailable
Facility
$59.21
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 93586
Office
Unavailable
Facility
$58.15
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 93586
Office
Unavailable
Facility
$63.07
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 93586
Office
Unavailable
Facility
$60.20
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 93586
Office
Unavailable
Facility
$61.59
No comparable office rate is available.
Rest Of Maryland
Maryland · 93586
Office
Unavailable
Facility
$59.82
No comparable office rate is available.
Rest Of Maine
Maine · 93586
Office
Unavailable
Facility
$57.62
No comparable office rate is available.
Southern Maine
Maine · 93586
Office
Unavailable
Facility
$58.37
No comparable office rate is available.
Detroit
Michigan · 93586
Office
Unavailable
Facility
$60.92
No comparable office rate is available.
Rest Of Michigan
Michigan · 93586
Office
Unavailable
Facility
$58.90
No comparable office rate is available.
Minnesota
Minnesota · 93586
Office
Unavailable
Facility
$57.87
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 93586
Office
Unavailable
Facility
$58.76
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 93586
Office
Unavailable
Facility
$58.96
No comparable office rate is available.
Rest Of Missouri
Missouri · 93586
Office
Unavailable
Facility
$57.96
No comparable office rate is available.
Mississippi
Mississippi · 93586
Office
Unavailable
Facility
$57.32
No comparable office rate is available.
Montana**
Montana · 93586
Office
Unavailable
Facility
$59.45
No comparable office rate is available.
North Carolina
North Carolina · 93586
Office
Unavailable
Facility
$57.80
No comparable office rate is available.
North Dakota**
North Dakota · 93586
Office
Unavailable
Facility
$57.87
No comparable office rate is available.
Nebraska
Nebraska · 93586
Office
Unavailable
Facility
$56.99
No comparable office rate is available.
New Hampshire
New Hampshire · 93586
Office
Unavailable
Facility
$59.54
No comparable office rate is available.
Northern Nj
New Jersey · 93586
Office
Unavailable
Facility
$64.22
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 93586
Office
Unavailable
Facility
$62.52
No comparable office rate is available.
New Mexico
New Mexico · 93586
Office
Unavailable
Facility
$59.13
No comparable office rate is available.
Nevada**
Nevada · 93586
Office
Unavailable
Facility
$59.02
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 93586
Office
Unavailable
Facility
$66.67
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 93586
Office
Unavailable
Facility
$63.09
No comparable office rate is available.
Queens
New York · 93586
Office
Unavailable
Facility
$65.49
No comparable office rate is available.
Rest Of New York
New York · 93586
Office
Unavailable
Facility
$58.14
No comparable office rate is available.
Ohio
Ohio · 93586
Office
Unavailable
Facility
$58.57
No comparable office rate is available.
Oklahoma
Oklahoma · 93586
Office
Unavailable
Facility
$57.75
No comparable office rate is available.
Portland
Oregon · 93586
Office
Unavailable
Facility
$60.66
No comparable office rate is available.
Rest Of Oregon
Oregon · 93586
Office
Unavailable
Facility
$58.62
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 93586
Office
Unavailable
Facility
$61.23
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 93586
Office
Unavailable
Facility
$58.46
No comparable office rate is available.
Puerto Rico
Puerto Rico · 93586
Office
Unavailable
Facility
$59.53
No comparable office rate is available.
Rhode Island
Rhode Island · 93586
Office
Unavailable
Facility
$60.39
No comparable office rate is available.
South Carolina
South Carolina · 93586
Office
Unavailable
Facility
$58.27
No comparable office rate is available.
South Dakota**
South Dakota · 93586
Office
Unavailable
Facility
$57.68
No comparable office rate is available.
Tennessee
Tennessee · 93586
Office
Unavailable
Facility
$57.27
No comparable office rate is available.
Utah
Utah · 93586
Office
Unavailable
Facility
$58.56
No comparable office rate is available.
Virginia
Virginia · 93586
Office
Unavailable
Facility
$58.49
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 93586
Office
Unavailable
Facility
$59.53
No comparable office rate is available.
Vermont
Vermont · 93586
Office
Unavailable
Facility
$58.03
No comparable office rate is available.
Rest Of Washington
Washington · 93586
Office
Unavailable
Facility
$59.97
No comparable office rate is available.
Seattle (King Cnty)
Washington · 93586
Office
Unavailable
Facility
$63.64
No comparable office rate is available.
Wisconsin
Wisconsin · 93586
Office
Unavailable
Facility
$57.17
No comparable office rate is available.
West Virginia
West Virginia · 93586
Office
Unavailable
Facility
$59.25
No comparable office rate is available.
Wyoming**
Wyoming · 93586
Office
Unavailable
Facility
$58.76
No comparable office rate is available.
See how rates vary across the country
93586 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 93586 in Austin
Multiple payment areas
- 93586 in Barton Creek
- 93586 in Bee Cave
- 93586 in Briarcliff
- 93586 in Cedar Park
Multiple payment areas
- 93586 in Creedmoor
Multiple payment areas
- 93586 in Elgin
Multiple payment areas
- 93586 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 93586 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$65.82
$59.84 × 110% = $65.82
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93586 in Austin.
PPRRVU2026_Oct_nonQPP.csv
12,155
- Code
- 93586
- Physician work
- 1.39
- Practice expense
- 0.31
- Malpractice
- 0.08
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.39 | × 1.002 | 1.3928 |
| Practice expense | 0.31 | × 1.058 | 0.3280 |
| Malpractice | 0.08 | × 0.886 | 0.0709 |
| Total RVUs | 1.7916 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$59.84
Open 93586 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.39 | 1.002 |
| Practice expense | 0.31 | 1.058 |
| Malpractice | 0.08 | 0.886 |
(1.39 × 1.002 + 0.31 × 1.058 + 0.08 × 0.886) × $33.4009 = $59.84
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
93586 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $59.84 | RVU26D |
| 2026-07-01 | Not available in this setting | $59.84 | RVU26C |
| 2026-04-01 | Not available in this setting | $59.84 | RVU26B |
| 2026-01-01 | Not available in this setting | $59.84 | RVU26A |
| 2025-10-01 | Not available in this setting | $67.35 | RVU25D |
| 2025-07-01 | Not available in this setting | $67.35 | RVU25C |
| 2025-04-01 | Not available in this setting | $67.35 | RVU25B |
| 2025-01-01 | Not available in this setting | $67.35 | RVU25A |
93586 billing questions
When should 93586 be chosen instead of another congenital venography code?
Use 93586 when the venographic target is the coronary sinus. Codes 93584, 93585, 93587, and 93588 describe other venous structures or collateral pathways.
Can 93586 be reported by itself?
No. It is an add-on code and must be reported with a primary congenital cardiac catheterization procedure, such as an applicable code from 93593–93597.
Does 93586 include catheter placement and image interpretation?
Yes. The coronary sinus venography service includes catheter placement and radiological supervision and interpretation for that imaging.
What documentation supports reporting 93586?
Document why coronary sinus venography was performed, the structure and connections evaluated, and the imaging findings in the catheterization record.
How does the add-on payment rule affect 93586?
The code is paid within the global period of the primary procedure with which it is reported; it is not a standalone service.
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.
12,15293583,,Perq transcath septal reduxn,A,,13.41,2.58,NA,2.58,,3.20,19.19,19.19,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15393584,,Vngrph chd anom/persist svc,A,,1.17,0.22,NA,0.22,,0.07,1.46,1.46,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15493585,,Vngrph chd azygs/hemiazygs,A,,1.10,0.21,NA,0.21,,0.07,1.38,1.38,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15593586,,Vngrph chd coronary sinus,A,,1.39,0.31,NA,0.31,,0.08,1.78,1.78,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15693587,,Vngrph chd vnvn cltrl at/abv,A,,2.06,0.38,NA,0.38,,0.15,2.59,2.59,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15793588,,Vngrph chd vnvn cltrl below,A,,2.08,0.38,NA,0.38,,0.15,2.61,2.61,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15893590,,Perq transcath cls mitral,A,,21.16,4.40,NA,4.40,,1.76,27.32,27.32,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858