$931.94
93452 covers left heart catheterization with ventriculography but not coronary angiography. Choose 93458 when coronary arteries are also imaged.
On this page
CMS RVU26D · Effective 2026-10-01
93458 in El Centro
Office / nonfacility
$1071.65
Base rate per service
Facility setting
Not available in this setting
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 93458: Left heart catheterization with coronary angiography
Reports left heart catheterization with imaging of the native coronary arteries, with left ventriculography included when performed during the study.
An interventional cardiologist typically performs this diagnostic study in a cardiac catheterization laboratory. Catheters are advanced to the left side of the heart and into the coronary arteries to obtain hemodynamic information and images of the native vessels. Contrast imaging of the left ventricle may also be performed as part of the study. This code is used for the combined left-heart and coronary evaluation, rather than coronary imaging alone or a study that also includes right-heart catheterization.
Report the code when both left heart catheterization and coronary angiography are performed; document the catheterization, vessels imaged, and any ventriculography performed. The global service includes the professional interpretation and the technical resources; modifier 26 identifies the professional interpretation, and modifier TC identifies equipment and staff. Same-day preoperative and postoperative care is included in its 0-day global period. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this left-sided study. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 93458
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.46 · 18%
- Practice expense (office) RVU23.65 · 78%
- Malpractice RVU1.13 · 4%
391.7K
Medicare services in 2024 · #262 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.
93458 compared with similar codes
Office rates for El Centro, from the same CMS release.
$933.30
93454 covers coronary angiography without left heart catheterization. Choose 93458 when both services are performed.
$1,151.69
93459 includes bypass graft angiography in addition to the left-heart and coronary evaluation. Choose 93458 when graft angiography is not part of the study.
$1,277.31
93460 includes right heart catheterization as well as the left-heart and coronary evaluation. Choose 93458 when right heart catheterization is not performed.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 93458 is $1074.58—$2.93 higher than the $1071.65 rate in El Centro. Both use the same code, release and participation basis.
93458 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$1071.65
$1074.58
$2.93 higher than El Centro
$1071.46
$0.19 lower than El Centro
$1071.46
$0.19 lower than El Centro
$1071.46
$0.19 lower than El Centro
$77.75 higher than El Centro
$1071.46
$0.19 lower than El Centro
Other payment areas listed in California 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, 93458 ranges from $880.36 in Arkansas to $1361.74 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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
Merced
California · 93458
Office
$1071.46
Facility
Unavailable
$0.19 lower than El Centro for the office setting.
Modesto
California · 93458
Office
$1071.46
Facility
Unavailable
$0.19 lower than El Centro for the office setting.
Napa
California · 93458
Office
$1254.16
Facility
Unavailable
$182.51 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 93458
Office
$1144.69
Facility
Unavailable
$73.04 higher than El Centro for the office setting.
Redding
California · 93458
Office
$1071.46
Facility
Unavailable
$0.19 lower than El Centro for the office setting.
Rest Of California
California · 93458
Office
$1071.46
Facility
Unavailable
$0.19 lower than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 93458
Office
$1083.61
Facility
Unavailable
$11.96 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 93458
Office
$1127.85
Facility
Unavailable
$56.20 higher than El Centro for the office setting.
Salinas
California · 93458
Office
$1123.78
Facility
Unavailable
$52.13 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 93458
Office
$1153.05
Facility
Unavailable
$81.40 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 93458
Office
$1330.82
Facility
Unavailable
$259.17 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 93458
Office
$1329.54
Facility
Unavailable
$257.89 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 93458
Office
$1361.74
Facility
Unavailable
$290.09 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 93458
Office
$1356.49
Facility
Unavailable
$284.84 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 93458
Office
$1105.43
Facility
Unavailable
$33.78 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 93458
Office
$1166.20
Facility
Unavailable
$94.55 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 93458
Office
$1128.77
Facility
Unavailable
$57.12 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 93458
Office
$1178.11
Facility
Unavailable
$106.46 higher than El Centro for the office setting.
Stockton
California · 93458
Office
$1071.46
Facility
Unavailable
$0.19 lower than El Centro for the office setting.
Vallejo
California · 93458
Office
$1252.31
Facility
Unavailable
$180.66 higher than El Centro for the office setting.
Visalia
California · 93458
Office
$1071.46
Facility
Unavailable
$0.19 lower than El Centro for the office setting.
Yuba City
California · 93458
Office
$1071.46
Facility
Unavailable
$0.19 lower than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 93458
Office
$1164.76
Facility
Unavailable
$93.11 higher than El Centro for the office setting.
Miami
Florida · 93458
Office
$1100.14
Facility
Unavailable
$28.49 higher than El Centro for the office setting.
Chicago
Illinois · 93458
Office
$1064.15
Facility
Unavailable
$7.50 lower than El Centro for the office setting.
Manhattan
New York · 93458
Office
$1171.80
Facility
Unavailable
$100.15 higher than El Centro for the office setting.
Alaska*
Alaska · 93458
Office
$1135.63
Facility
Unavailable
$63.98 higher than El Centro for the office setting.
Alabama
Alabama · 93458
Office
$894.92
Facility
Unavailable
$176.73 lower than El Centro for the office setting.
Arkansas
Arkansas · 93458
Office
$880.36
Facility
Unavailable
$191.29 lower than El Centro for the office setting.
Arizona
Arizona · 93458
Office
$980.12
Facility
Unavailable
$91.53 lower than El Centro for the office setting.
Colorado
Colorado · 93458
Office
$1054.52
Facility
Unavailable
$17.13 lower than El Centro for the office setting.
Connecticut
Connecticut · 93458
Office
$1082.44
Facility
Unavailable
$10.79 higher than El Centro for the office setting.
Delaware
Delaware · 93458
Office
$997.66
Facility
Unavailable
$73.99 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 93458
Office
$1050.81
Facility
Unavailable
$20.84 lower than El Centro for the office setting.
Rest Of Florida
Florida · 93458
Office
$994.27
Facility
Unavailable
$77.38 lower than El Centro for the office setting.
Atlanta
Georgia · 93458
Office
$1030.82
Facility
Unavailable
$40.83 lower than El Centro for the office setting.
Rest Of Georgia
Georgia · 93458
Office
$931.98
Facility
Unavailable
$139.67 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 93458
Office
$1102.37
Facility
Unavailable
$30.72 higher than El Centro for the office setting.
Iowa
Iowa · 93458
Office
$920.14
Facility
Unavailable
$151.51 lower than El Centro for the office setting.
Idaho
Idaho · 93458
Office
$926.96
Facility
Unavailable
$144.69 lower than El Centro for the office setting.
East St. Louis
Illinois · 93458
Office
$985.12
Facility
Unavailable
$86.53 lower than El Centro for the office setting.
Rest Of Illinois
Illinois · 93458
Office
$962.57
Facility
Unavailable
$109.08 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 93458
Office
$1061.79
Facility
Unavailable
$9.86 lower than El Centro for the office setting.
Indiana
Indiana · 93458
Office
$932.98
Facility
Unavailable
$138.67 lower than El Centro for the office setting.
Kansas
Kansas · 93458
Office
$915.49
Facility
Unavailable
$156.16 lower than El Centro for the office setting.
Kentucky
Kentucky · 93458
Office
$919.15
Facility
Unavailable
$152.50 lower than El Centro for the office setting.
New Orleans
Louisiana · 93458
Office
$968.57
Facility
Unavailable
$103.08 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 93458
Office
$917.62
Facility
Unavailable
$154.03 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 93458
Office
$1166.62
Facility
Unavailable
$94.97 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 93458
Office
$1047.17
Facility
Unavailable
$24.48 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 93458
Office
$1079.57
Facility
Unavailable
$7.92 higher than El Centro for the office setting.
Rest Of Maryland
Maryland · 93458
Office
$1018.25
Facility
Unavailable
$53.40 lower than El Centro for the office setting.
Rest Of Maine
Maine · 93458
Office
$932.58
Facility
Unavailable
$139.07 lower than El Centro for the office setting.
Southern Maine
Maine · 93458
Office
$989.01
Facility
Unavailable
$82.64 lower than El Centro for the office setting.
Detroit
Michigan · 93458
Office
$1008.29
Facility
Unavailable
$63.36 lower than El Centro for the office setting.
Rest Of Michigan
Michigan · 93458
Office
$946.19
Facility
Unavailable
$125.46 lower than El Centro for the office setting.
Minnesota
Minnesota · 93458
Office
$1006.38
Facility
Unavailable
$65.27 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 93458
Office
$960.99
Facility
Unavailable
$110.66 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 93458
Office
$972.20
Facility
Unavailable
$99.45 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 93458
Office
$900.05
Facility
Unavailable
$171.60 lower than El Centro for the office setting.
Mississippi
Mississippi · 93458
Office
$890.39
Facility
Unavailable
$181.26 lower than El Centro for the office setting.
Montana**
Montana · 93458
Office
$1009.97
Facility
Unavailable
$61.68 lower than El Centro for the office setting.
North Carolina
North Carolina · 93458
Office
$943.49
Facility
Unavailable
$128.16 lower than El Centro for the office setting.
North Dakota**
North Dakota · 93458
Office
$987.62
Facility
Unavailable
$84.03 lower than El Centro for the office setting.
Nebraska
Nebraska · 93458
Office
$925.74
Facility
Unavailable
$145.91 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 93458
Office
$1037.71
Facility
Unavailable
$33.94 lower than El Centro for the office setting.
Northern Nj
New Jersey · 93458
Office
$1150.49
Facility
Unavailable
$78.84 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 93458
Office
$1093.67
Facility
Unavailable
$22.02 higher than El Centro for the office setting.
New Mexico
New Mexico · 93458
Office
$952.07
Facility
Unavailable
$119.58 lower than El Centro for the office setting.
Nevada**
Nevada · 93458
Office
$1004.53
Facility
Unavailable
$67.12 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 93458
Office
$1203.36
Facility
Unavailable
$131.71 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 93458
Office
$1101.22
Facility
Unavailable
$29.57 higher than El Centro for the office setting.
Queens
New York · 93458
Office
$1182.16
Facility
Unavailable
$110.51 higher than El Centro for the office setting.
Rest Of New York
New York · 93458
Office
$959.34
Facility
Unavailable
$112.31 lower than El Centro for the office setting.
Ohio
Ohio · 93458
Office
$941.62
Facility
Unavailable
$130.03 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 93458
Office
$917.10
Facility
Unavailable
$154.55 lower than El Centro for the office setting.
Portland
Oregon · 93458
Office
$1090.98
Facility
Unavailable
$19.33 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 93458
Office
$995.67
Facility
Unavailable
$75.98 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 93458
Office
$1053.00
Facility
Unavailable
$18.65 lower than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 93458
Office
$943.19
Facility
Unavailable
$128.46 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 93458
Office
$1018.17
Facility
Unavailable
$53.48 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 93458
Office
$1035.50
Facility
Unavailable
$36.15 lower than El Centro for the office setting.
South Carolina
South Carolina · 93458
Office
$944.35
Facility
Unavailable
$127.30 lower than El Centro for the office setting.
South Dakota**
South Dakota · 93458
Office
$984.98
Facility
Unavailable
$86.67 lower than El Centro for the office setting.
Tennessee
Tennessee · 93458
Office
$920.68
Facility
Unavailable
$150.97 lower than El Centro for the office setting.
Austin
Texas · 93458
Office
$1051.92
Facility
Unavailable
$19.73 lower than El Centro for the office setting.
Beaumont
Texas · 93458
Office
$936.27
Facility
Unavailable
$135.38 lower than El Centro for the office setting.
Brazoria
Texas · 93458
Office
$996.09
Facility
Unavailable
$75.56 lower than El Centro for the office setting.
Dallas
Texas · 93458
Office
$1003.17
Facility
Unavailable
$68.48 lower than El Centro for the office setting.
Fort Worth
Texas · 93458
Office
$995.76
Facility
Unavailable
$75.89 lower than El Centro for the office setting.
Galveston
Texas · 93458
Office
$999.48
Facility
Unavailable
$72.17 lower than El Centro for the office setting.
Houston
Texas · 93458
Office
$1020.16
Facility
Unavailable
$51.49 lower than El Centro for the office setting.
Rest Of Texas
Texas · 93458
Office
$966.10
Facility
Unavailable
$105.55 lower than El Centro for the office setting.
Utah
Utah · 93458
Office
$958.80
Facility
Unavailable
$112.85 lower than El Centro for the office setting.
Virginia
Virginia · 93458
Office
$985.52
Facility
Unavailable
$86.13 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 93458
Office
$1018.17
Facility
Unavailable
$53.48 lower than El Centro for the office setting.
Vermont
Vermont · 93458
Office
$983.50
Facility
Unavailable
$88.15 lower than El Centro for the office setting.
Rest Of Washington
Washington · 93458
Office
$1045.26
Facility
Unavailable
$26.39 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 93458
Office
$1191.57
Facility
Unavailable
$119.92 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 93458
Office
$950.75
Facility
Unavailable
$120.90 lower than El Centro for the office setting.
West Virginia
West Virginia · 93458
Office
$922.83
Facility
Unavailable
$148.82 lower than El Centro for the office setting.
Wyoming**
Wyoming · 93458
Office
$1000.23
Facility
Unavailable
$71.42 lower than El Centro for the office setting.
See how rates vary across the country
93458 · 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.
$880.36
$1,216.60
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 | $1,135.63 | 1 |
| AL | $894.92 | 1 |
| AR | $880.36 | 1 |
| AZ | $980.12 | 1 |
| CA | $1,071.46–$1,361.74 | 29 |
| CO | $1,054.52 | 1 |
| CT | $1,082.44 | 1 |
| DC | $1,164.76 | 1 |
| DE | $997.66 | 1 |
| FL | $994.27–$1,100.14 | 3 |
| GA | $931.98–$1,030.82 | 2 |
| GU | $1,102.37 | 1 |
| HI | $1,102.37 | 1 |
| IA | $920.14 | 1 |
| ID | $926.96 | 1 |
| IL | $962.57–$1,064.15 | 4 |
| IN | $932.98 | 1 |
| KS | $915.49 | 1 |
| KY | $919.15 | 1 |
| LA | $917.62–$968.57 | 2 |
| MA | $1,047.17–$1,166.62 | 2 |
| MD | $1,018.25–$1,164.76 | 3 |
| ME | $932.58–$989.01 | 2 |
| MI | $946.19–$1,008.29 | 2 |
| MN | $1,006.38 | 1 |
| MO | $900.05–$972.20 | 3 |
| MS | $890.39 | 1 |
| MT | $1,009.97 | 1 |
| NC | $943.49 | 1 |
| ND | $987.62 | 1 |
| NE | $925.74 | 1 |
| NH | $1,037.71 | 1 |
| NJ | $1,093.67–$1,150.49 | 2 |
| NM | $952.07 | 1 |
| NV | $1,004.53 | 1 |
| NY | $959.34–$1,203.36 | 5 |
| OH | $941.62 | 1 |
| OK | $917.10 | 1 |
| OR | $995.67–$1,090.98 | 2 |
| PA | $943.19–$1,053.00 | 2 |
| PR | $1,018.17 | 1 |
| RI | $1,035.50 | 1 |
| SC | $944.35 | 1 |
| SD | $984.98 | 1 |
| TN | $920.68 | 1 |
| TX | $936.27–$1,051.92 | 8 |
| UT | $958.80 | 1 |
| VA | $985.52–$1,164.76 | 2 |
| VI | $1,018.17 | 1 |
| VT | $983.50 | 1 |
| WA | $1,045.26–$1,191.57 | 2 |
| WI | $950.75 | 1 |
| WV | $922.83 | 1 |
| WY | $1,000.23 | 1 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 93458 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1178.82
$1071.65 × 110% = $1178.82
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 93458 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
12,112
- Code
- 93458
- Physician work
- 5.46
- Practice expense
- 23.65
- Malpractice
- 1.13
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.46 | × 1.017 | 5.5528 |
| Practice expense | 23.65 | × 1.096 | 25.9204 |
| Malpractice | 1.13 | × 0.541 | 0.6113 |
| Total RVUs | 32.0846 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$1071.65
Open 93458 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.46 | 1.017 |
| Practice expense | 23.65 | 1.096 |
| Malpractice | 1.13 | 0.541 |
(5.46 × 1.017 + 23.65 × 1.096 + 1.13 × 0.541) × $33.4009 = $1071.65
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
93458 · Office / nonfacility
$1071.65
Effective 2026-10-01
The base rate is $51.89 higher than on 2025-10-01, moving from $1019.76 to $1071.65 (5.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$1019.76changed to$1071.65
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.60 changed to 5.46
- Practice expense RVU 23.08 changed to 23.65
- Malpractice RVU 1.09 changed to 1.13
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.570 changed to 0.541
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $1019.76
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1071.65 | Not available in this setting | RVU26D |
| 2026-07-01 | $1071.65 | Not available in this setting | RVU26C |
| 2026-04-01 | $1071.65 | Not available in this setting | RVU26B |
| 2026-01-01 | $1071.65 | Not available in this setting | RVU26A |
| 2025-10-01 | $1019.76 | Not available in this setting | RVU25D |
| 2025-07-01 | $1019.76 | Not available in this setting | RVU25C |
| 2025-04-01 | $1019.76 | Not available in this setting | RVU25B |
| 2025-01-01 | $1019.76 | Not available in this setting | RVU25A |
93458 billing questions
When should 93458 be chosen instead of 93454?
Use 93458 when the service includes both left heart catheterization and coronary angiography. Code 93454 describes coronary angiography without the left heart catheterization component.
Is left ventriculography required to report 93458?
No. The code includes left ventriculography when performed, but the study may be reported when left ventriculography is not performed.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Should modifier 50 be appended when both coronary arteries are imaged?
No. Report 93458 once for the described study; modifier 50 is inappropriate for this code.
How are other procedures in the same session affected?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction. The code has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
12,10993457,,R hrt art/grft angio,A,,6.47,27.93,,27.93,NA,1.33,35.73,35.73,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,11093457,26,R hrt art/grft angio,A,,6.47,2.47,,2.47,,1.27,10.21,10.21,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,11193457,TC,R hrt art/grft angio,A,,0.00,25.46,,25.46,NA,0.06,25.52,25.52,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,11293458,,L hrt artery/ventricle angio,A,,5.46,23.65,,23.65,NA,1.13,30.24,30.24,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,11393458,26,L hrt artery/ventricle angio,A,,5.46,2.06,,2.06,,1.08,8.60,8.60,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,11493458,TC,L hrt artery/ventricle angio,A,,0.00,21.59,,21.59,NA,0.05,21.64,21.64,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,11593459,,L hrt art/grft angio,A,,6.19,25.08,,25.08,NA,1.29,32.56,32.56,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664