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CMS RVU26D · Effective 2026-10-01

93564 in Delaware

Office / nonfacility

$52.68

Base rate per service

Facility setting

$46.74

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 93564: Selective bypass graft angiography injection

Reports selective contrast imaging of aortocoronary venous bypass grafts during cardiac catheterization, such as graft assessment in a patient with prior CABG.

During cardiac catheterization, the cardiologist selectively injects contrast into one or more aortocoronary venous bypass grafts to visualize the grafts and their connections. A common setting is evaluation of graft patency in a patient with prior coronary artery bypass surgery. This is an imaging injection service, not a graft intervention; the catheterization and any treatment are represented by their applicable codes.

Report 93564 only with a primary cardiac catheterization procedure, and only when selective graft opacification is performed. The record should identify the grafts injected and support that selective imaging was carried out and interpreted. This add-on is paid within the primary procedure’s global period. It is not reported as a stand-alone service. When multiple grafts are selectively imaged during the same catheterization, report the add-on for the service rather than treating each graft as a separate unit.

CMS billing rules for 93564

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 RVU1.00 · 63%
  • Practice expense (office) RVU0.37 · 23%
  • Malpractice RVU0.23 · 14%

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.

93564 compared with similar codes

Office rates for Delaware, from the same CMS release.

93563

Coronary angiography

During congenital catheterization

$49.91

Use 93564 for selective imaging of aortocoronary venous bypass grafts; use 93563 for selective imaging of native coronary arteries.

93565

Cardiac angiography

Left ventricle or atrium

$25.99

93565 covers left ventricular or left atrial angiography, not selective imaging of coronary bypass grafts.

93567

Aortic angiography

Supravalvular injection

$36.21

93567 covers supravalvular aortography. It is not the selective graft injection service represented by 93564.

The same code, a different location

How does Delaware compare?

93564 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $52.68

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $54.49

    $1.81 higher than Delaware

  3. Dc + Md/Va Suburbs

    $58.31

    $5.63 higher than Delaware

  4. Miami

    $65.69

    $13.01 higher than Delaware

  5. Chicago

    $63.69

    $11.01 higher than Delaware

  6. Manhattan

    $62.08

    $9.40 higher than Delaware

  7. Alaska*

    $67.50

    $14.82 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 93564 ranges from $47.61 in Wisconsin to $67.50 in Alaska*. This is a geographic range, not an average.

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

  • Alabama

    Alabama · 93564

    Office

    $48.56

    Facility

    $43.30

    $4.12 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 93564

    Office

    $47.97

    Facility

    $42.81

    $4.71 lower than Delaware for the office setting.

  • Arizona

    Arizona · 93564

    Office

    $51.95

    Facility

    $46.13

    $0.73 lower than Delaware for the office setting.

  • Bakersfield

    California · 93564

    Office

    $52.26

    Facility

    $45.67

    $0.42 lower than Delaware for the office setting.

  • Chico

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • El Centro

    California · 93564

    Office

    $51.67

    Facility

    $45.08

    $1.01 lower than Delaware for the office setting.

  • Fresno

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Hanford-Corcoran

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Madera

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Merced

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Modesto

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Napa

    California · 93564

    Office

    $55.70

    Facility

    $47.77

    $3.02 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93564

    Office

    $53.73

    Facility

    $46.62

    $1.05 higher than Delaware for the office setting.

  • Redding

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Rest Of California

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93564

    Office

    $54.10

    Facility

    $47.51

    $1.42 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93564

    Office

    $53.09

    Facility

    $46.10

    $0.41 higher than Delaware for the office setting.

  • Salinas

    California · 93564

    Office

    $52.88

    Facility

    $45.91

    $0.20 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93564

    Office

    $53.35

    Facility

    $46.16

    $0.67 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93564

    Office

    $57.53

    Facility

    $49.05

    $4.85 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 93564

    Office

    $57.26

    Facility

    $48.79

    $4.58 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 93564

    Office

    $59.01

    Facility

    $50.34

    $6.33 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 93564

    Office

    $57.95

    Facility

    $49.28

    $5.27 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93564

    Office

    $52.16

    Facility

    $45.31

    $0.52 lower than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 93564

    Office

    $53.24

    Facility

    $45.93

    $0.56 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 93564

    Office

    $52.86

    Facility

    $45.85

    $0.18 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 93564

    Office

    $53.70

    Facility

    $46.31

    $1.02 higher than Delaware for the office setting.

  • Stockton

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Vallejo

    California · 93564

    Office

    $55.32

    Facility

    $47.40

    $2.64 higher than Delaware for the office setting.

  • Visalia

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Yuba City

    California · 93564

    Office

    $51.63

    Facility

    $45.04

    $1.05 lower than Delaware for the office setting.

  • Colorado

    Colorado · 93564

    Office

    $52.95

    Facility

    $46.55

    $0.27 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 93564

    Office

    $56.67

    Facility

    $50.20

    $3.99 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 93564

    Office

    $59.81

    Facility

    $53.72

    $7.13 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 93564

    Office

    $56.76

    Facility

    $51.01

    $4.08 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 93564

    Office

    $55.28

    Facility

    $49.18

    $2.60 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 93564

    Office

    $53.58

    Facility

    $48.22

    $0.90 higher than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 93564

    Office

    $51.90

    Facility

    $45.06

    $0.78 lower than Delaware for the office setting.

  • Iowa

    Iowa · 93564

    Office

    $47.76

    Facility

    $42.26

    $4.92 lower than Delaware for the office setting.

  • Idaho

    Idaho · 93564

    Office

    $48.40

    Facility

    $42.87

    $4.28 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 93564

    Office

    $60.24

    Facility

    $54.71

    $7.56 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 93564

    Office

    $56.69

    Facility

    $51.20

    $4.01 higher than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 93564

    Office

    $59.94

    Facility

    $53.77

    $7.26 higher than Delaware for the office setting.

  • Indiana

    Indiana · 93564

    Office

    $48.59

    Facility

    $43.02

    $4.09 lower than Delaware for the office setting.

  • Kansas

    Kansas · 93564

    Office

    $48.44

    Facility

    $43.01

    $4.24 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 93564

    Office

    $51.42

    Facility

    $46.07

    $1.26 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 93564

    Office

    $53.76

    Facility

    $48.10

    $1.08 higher than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 93564

    Office

    $51.70

    Facility

    $46.38

    $0.98 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 93564

    Office

    $56.36

    Facility

    $49.18

    $3.68 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93564

    Office

    $53.07

    Facility

    $46.74

    $0.39 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93564

    Office

    $56.70

    Facility

    $50.25

    $4.02 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 93564

    Office

    $53.29

    Facility

    $47.21

    $0.61 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 93564

    Office

    $49.55

    Facility

    $44.02

    $3.13 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 93564

    Office

    $50.50

    Facility

    $44.54

    $2.18 lower than Delaware for the office setting.

  • Detroit

    Michigan · 93564

    Office

    $58.28

    Facility

    $52.48

    $5.60 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 93564

    Office

    $53.36

    Facility

    $47.87

    $0.68 higher than Delaware for the office setting.

  • Minnesota

    Minnesota · 93564

    Office

    $48.39

    Facility

    $42.21

    $4.29 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 93564

    Office

    $52.51

    Facility

    $46.87

    $0.17 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 93564

    Office

    $52.86

    Facility

    $47.14

    $0.18 higher than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 93564

    Office

    $51.54

    Facility

    $46.35

    $1.14 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 93564

    Office

    $49.72

    Facility

    $44.54

    $2.96 lower than Delaware for the office setting.

  • Montana**

    Montana · 93564

    Office

    $53.43

    Facility

    $47.41

    $0.75 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 93564

    Office

    $49.84

    Facility

    $44.23

    $2.84 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 93564

    Office

    $48.88

    Facility

    $42.87

    $3.80 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 93564

    Office

    $47.71

    Facility

    $42.16

    $4.97 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 93564

    Office

    $52.99

    Facility

    $46.73

    $0.31 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 93564

    Office

    $58.05

    Facility

    $51.07

    $5.37 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 93564

    Office

    $56.66

    Facility

    $50.09

    $3.98 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 93564

    Office

    $53.96

    Facility

    $48.45

    $1.28 higher than Delaware for the office setting.

  • Nevada**

    Nevada · 93564

    Office

    $52.17

    Facility

    $46.15

    $0.51 lower than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93564

    Office

    $64.50

    Facility

    $57.35

    $11.82 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93564

    Office

    $57.73

    Facility

    $51.15

    $5.05 higher than Delaware for the office setting.

  • Queens

    New York · 93564

    Office

    $61.22

    Facility

    $54.12

    $8.54 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 93564

    Office

    $50.54

    Facility

    $44.83

    $2.14 lower than Delaware for the office setting.

  • Ohio

    Ohio · 93564

    Office

    $52.43

    Facility

    $46.94

    $0.25 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 93564

    Office

    $50.41

    Facility

    $45.04

    $2.27 lower than Delaware for the office setting.

  • Portland

    Oregon · 93564

    Office

    $53.38

    Facility

    $46.70

    $0.70 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 93564

    Office

    $51.11

    Facility

    $45.12

    $1.57 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93564

    Office

    $56.03

    Facility

    $49.77

    $3.35 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93564

    Office

    $52.01

    Facility

    $46.49

    $0.67 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 93564

    Office

    $53.46

    Facility

    $47.38

    $0.78 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 93564

    Office

    $53.65

    Facility

    $47.44

    $0.97 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 93564

    Office

    $51.35

    Facility

    $45.79

    $1.33 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 93564

    Office

    $48.34

    Facility

    $42.33

    $4.34 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 93564

    Office

    $48.76

    Facility

    $43.29

    $3.92 lower than Delaware for the office setting.

  • Austin

    Texas · 93564

    Office

    $53.35

    Facility

    $46.99

    $0.67 higher than Delaware for the office setting.

  • Beaumont

    Texas · 93564

    Office

    $51.78

    Facility

    $46.31

    $0.90 lower than Delaware for the office setting.

  • Brazoria

    Texas · 93564

    Office

    $51.91

    Facility

    $45.95

    $0.77 lower than Delaware for the office setting.

  • Dallas

    Texas · 93564

    Office

    $52.60

    Facility

    $46.61

    $0.08 lower than Delaware for the office setting.

  • Fort Worth

    Texas · 93564

    Office

    $52.58

    Facility

    $46.65

    $0.10 lower than Delaware for the office setting.

  • Galveston

    Texas · 93564

    Office

    $52.30

    Facility

    $46.33

    $0.38 lower than Delaware for the office setting.

  • Houston

    Texas · 93564

    Office

    $56.51

    Facility

    $50.54

    $3.83 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 93564

    Office

    $52.07

    Facility

    $46.36

    $0.61 lower than Delaware for the office setting.

  • Utah

    Utah · 93564

    Office

    $51.92

    Facility

    $46.26

    $0.76 lower than Delaware for the office setting.

  • Virginia

    Virginia · 93564

    Office

    $50.97

    Facility

    $45.06

    $1.71 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93564

    Office

    $53.46

    Facility

    $47.38

    $0.78 higher than Delaware for the office setting.

  • Vermont

    Vermont · 93564

    Office

    $49.52

    Facility

    $43.57

    $3.16 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 93564

    Office

    $52.69

    Facility

    $46.36

    $0.01 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 93564

    Office

    $56.51

    Facility

    $49.13

    $3.83 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 93564

    Office

    $47.61

    Facility

    $41.85

    $5.07 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 93564

    Office

    $55.13

    Facility

    $49.91

    $2.45 higher than Delaware for the office setting.

  • Wyoming**

    Wyoming · 93564

    Office

    $51.44

    Facility

    $45.43

    $1.24 lower than Delaware for the office setting.

See how rates vary across the country

93564 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$47.61

$67.50

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$67.501
AL$48.561
AR$47.971
AZ$51.951
CA$51.63–$59.0129
CO$52.951
CT$56.671
DC$58.311
DE$52.681
FL$56.76–$65.693
GA$53.58–$55.282
GU$51.901
HI$51.901
IA$47.761
ID$48.401
IL$56.69–$63.694
IN$48.591
KS$48.441
KY$51.421
LA$51.70–$53.762
MA$53.07–$56.362
MD$53.29–$58.313
ME$49.55–$50.502
MI$53.36–$58.282
MN$48.391
MO$51.54–$52.863
MS$49.721
MT$53.431
NC$49.841
ND$48.881
NE$47.711
NH$52.991
NJ$56.66–$58.052
NM$53.961
NV$52.171
NY$50.54–$64.505
OH$52.431
OK$50.411
OR$51.11–$53.382
PA$52.01–$56.032
PR$53.461
RI$53.651
SC$51.351
SD$48.341
TN$48.761
TX$51.78–$56.518
UT$51.921
VA$50.97–$58.312
VI$53.461
VT$49.521
WA$52.69–$56.512
WI$47.611
WV$55.131
WY$51.441

Explore 93564 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 93564 in Delaware, the physician’s office rate is $52.68 and the facility-setting rate is $46.74: a difference of $5.94.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93564 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$57.95

$52.68 × 110% = $57.95

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.

Compare your contract offer →

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 93564 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

12,134

Code
93564
Physician work
1.00
Practice expense
0.37
Malpractice
0.23

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 93564 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0051.0050
Practice expense0.37× 0.9880.3656
Malpractice0.23× 0.8990.2068
Total RVUs1.5773
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$52.68

Open 93564 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work11.005
Practice expense0.370.988
Malpractice0.230.899

(1 × 1.005 + 0.37 × 0.988 + 0.23 × 0.899) × $33.4009 = $52.68

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work11.005
Practice expense0.190.988
Malpractice0.230.899

(1 × 1.005 + 0.19 × 0.988 + 0.23 × 0.899) × $33.4009 = $46.74

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

93564 · Office / nonfacility

$52.68

Effective 2026-10-01

The base rate is $0.45 higher than on 2025-10-01, moving from $52.23 to $52.68 (0.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $52.23changed to$52.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.03 changed to 1.00
    • Practice expense RVU 0.36 changed to 0.37
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $52.23

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$52.68$46.74RVU26D
2026-07-01$52.68$46.74RVU26C
2026-04-01$52.68$46.74RVU26B
2026-01-01$52.68$46.74RVU26A
2025-10-01$52.23$52.23RVU25D
2025-07-01$52.23$52.23RVU25C
2025-04-01$52.23$52.23RVU25B
2025-01-01$52.23$52.23RVU25A

93564 billing questions

How does 93564 differ from 93563?

93564 captures selective imaging of aortocoronary venous bypass grafts. 93563 is for selective coronary angiography of the native coronary arteries.

Which primary procedure should accompany 93564?

Report it with the applicable cardiac catheterization code, such as 93459 for left heart catheterization with coronary angiography that includes bypass grafts. It is an add-on and cannot stand alone.

Do I report one unit for each graft?

No. The add-on represents selective opacification of one or more aortocoronary venous bypass grafts during the catheterization, rather than a separate unit for every graft.

What documentation supports 93564?

Document the selective graft imaging performed, including which bypass grafts were injected and the resulting imaging interpretation. The record should distinguish graft opacification from imaging of native coronary arteries.

Can 93564 be billed by itself?

No. It must be reported with a primary cardiac catheterization procedure and is paid within that procedure’s global period.

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.

RVUs for 93564PPRRVU2026_Oct_nonQPP.csv, line 12,134 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet