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CMS RVU26D · Effective 2026-10-01

93565 in El Centro

Office / nonfacility

$25.40

Base rate per service

Facility setting

$22.11

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 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 rates for El Centro, from the same CMS release.

93563

Coronary angiography

During congenital catheterization

$49.73

Use 93563 for selective coronary artery angiography. Use 93565 for selective angiography of the left ventricle or left atrium.

93566

Chamber angiography

Right atrium or ventricle

$25.05

93566 covers selective angiography of right-sided chambers; 93565 covers left-sided chambers.

93564

Graft angiography

Aortocoronary venous bypass grafts

$51.67

93564 identifies contrast imaging of aortocoronary venous bypass grafts, rather than left ventricular or left atrial angiography.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 93565 is $25.71—$0.31 higher than the $25.40 rate in El Centro. Both use the same code, release and participation basis.

93565 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $25.40

  2. $0.31 higher than El Centro

  3. Chico

    $25.38

    $0.02 lower than El Centro

  4. Fresno

    $25.38

    $0.02 lower than El Centro

  5. $0.02 lower than El Centro

  6. $1.41 higher than El Centro

  7. Madera

    $25.38

    $0.02 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, 93565 ranges from $23.36 in Wisconsin to $33.16 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
  • Merced

    California · 93565

    Office

    $25.38

    Facility

    $22.09

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 93565

    Office

    $25.38

    Facility

    $22.09

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 93565

    Office

    $27.36

    Facility

    $23.40

    $1.96 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93565

    Office

    $26.43

    Facility

    $22.87

    $1.03 higher than El Centro for the office setting.

  • Redding

    California · 93565

    Office

    $25.38

    Facility

    $22.09

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 93565

    Office

    $25.38

    Facility

    $22.09

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93565

    Office

    $26.67

    Facility

    $23.37

    $1.27 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93565

    Office

    $26.10

    Facility

    $22.60

    $0.70 higher than El Centro for the office setting.

  • Salinas

    California · 93565

    Office

    $25.99

    Facility

    $22.51

    $0.59 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93565

    Office

    $26.22

    Facility

    $22.63

    $0.82 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93565

    Office

    $28.24

    Facility

    $24.00

    $2.84 higher than El Centro for the office setting.

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

    California · 93565

    Office

    $28.10

    Facility

    $23.86

    $2.70 higher than El Centro for the office setting.

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

    California · 93565

    Office

    $28.98

    Facility

    $24.65

    $3.58 higher than El Centro for the office setting.

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

    California · 93565

    Office

    $28.43

    Facility

    $24.09

    $3.03 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93565

    Office

    $25.64

    Facility

    $22.22

    $0.24 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 93565

    Office

    $26.16

    Facility

    $22.51

    $0.76 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 93565

    Office

    $25.98

    Facility

    $22.48

    $0.58 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 93565

    Office

    $26.39

    Facility

    $22.70

    $0.99 higher than El Centro for the office setting.

  • Stockton

    California · 93565

    Office

    $25.38

    Facility

    $22.09

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 93565

    Office

    $27.16

    Facility

    $23.20

    $1.76 higher than El Centro for the office setting.

  • Visalia

    California · 93565

    Office

    $25.38

    Facility

    $22.09

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 93565

    Office

    $25.38

    Facility

    $22.09

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93565

    Office

    $28.79

    Facility

    $25.25

    $3.39 higher than El Centro for the office setting.

  • Miami

    Florida · 93565

    Office

    $32.76

    Facility

    $29.63

    $7.36 higher than El Centro for the office setting.

  • Chicago

    Illinois · 93565

    Office

    $31.72

    Facility

    $28.70

    $6.32 higher than El Centro for the office setting.

  • Manhattan

    New York · 93565

    Office

    $30.76

    Facility

    $27.26

    $5.36 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 93565

    Office

    $33.16

    Facility

    $29.96

    $7.76 higher than El Centro for the office setting.

  • Alabama

    Alabama · 93565

    Office

    $23.90

    Facility

    $21.27

    $1.50 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 93565

    Office

    $23.60

    Facility

    $21.01

    $1.80 lower than El Centro for the office setting.

  • Arizona

    Arizona · 93565

    Office

    $25.62

    Facility

    $22.71

    $0.22 higher than El Centro for the office setting.

  • Colorado

    Colorado · 93565

    Office

    $26.09

    Facility

    $22.89

    $0.69 higher than El Centro for the office setting.

  • Connecticut

    Connecticut · 93565

    Office

    $28.02

    Facility

    $24.78

    $2.62 higher than El Centro for the office setting.

  • Delaware

    Delaware · 93565

    Office

    $25.99

    Facility

    $23.02

    $0.59 higher than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 93565

    Office

    $29.70

    Facility

    $26.66

    $4.30 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 93565

    Office

    $28.14

    Facility

    $25.26

    $2.74 higher than El Centro for the office setting.

  • Atlanta

    Georgia · 93565

    Office

    $27.34

    Facility

    $24.28

    $1.94 higher than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 93565

    Office

    $26.51

    Facility

    $23.83

    $1.11 higher than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 93565

    Office

    $25.52

    Facility

    $22.11

    $0.12 higher than El Centro for the office setting.

  • Iowa

    Iowa · 93565

    Office

    $23.46

    Facility

    $20.71

    $1.94 lower than El Centro for the office setting.

  • Idaho

    Idaho · 93565

    Office

    $23.79

    Facility

    $21.03

    $1.61 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 93565

    Office

    $29.97

    Facility

    $27.20

    $4.57 higher than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 93565

    Office

    $28.12

    Facility

    $25.38

    $2.72 higher than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 93565

    Office

    $29.76

    Facility

    $26.67

    $4.36 higher than El Centro for the office setting.

  • Indiana

    Indiana · 93565

    Office

    $23.89

    Facility

    $21.10

    $1.51 lower than El Centro for the office setting.

  • Kansas

    Kansas · 93565

    Office

    $23.82

    Facility

    $21.10

    $1.58 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 93565

    Office

    $25.38

    Facility

    $22.71

    $0.02 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 93565

    Office

    $26.58

    Facility

    $23.75

    $1.18 higher than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 93565

    Office

    $25.53

    Facility

    $22.87

    $0.13 higher than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 93565

    Office

    $27.78

    Facility

    $24.19

    $2.38 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93565

    Office

    $26.15

    Facility

    $22.99

    $0.75 higher than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93565

    Office

    $28.04

    Facility

    $24.81

    $2.64 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 93565

    Office

    $26.29

    Facility

    $23.25

    $0.89 higher than El Centro for the office setting.

  • Rest Of Maine

    Maine · 93565

    Office

    $24.39

    Facility

    $21.63

    $1.01 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 93565

    Office

    $24.85

    Facility

    $21.87

    $0.55 lower than El Centro for the office setting.

  • Detroit

    Michigan · 93565

    Office

    $28.93

    Facility

    $26.02

    $3.53 higher than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 93565

    Office

    $26.38

    Facility

    $23.64

    $0.98 higher than El Centro for the office setting.

  • Minnesota

    Minnesota · 93565

    Office

    $23.74

    Facility

    $20.65

    $1.66 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 93565

    Office

    $25.93

    Facility

    $23.11

    $0.53 higher than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 93565

    Office

    $26.11

    Facility

    $23.24

    $0.71 higher than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 93565

    Office

    $25.45

    Facility

    $22.86

    $0.05 higher than El Centro for the office setting.

  • Mississippi

    Mississippi · 93565

    Office

    $24.50

    Facility

    $21.92

    $0.90 lower than El Centro for the office setting.

  • Montana**

    Montana · 93565

    Office

    $26.38

    Facility

    $23.37

    $0.98 higher than El Centro for the office setting.

  • North Carolina

    North Carolina · 93565

    Office

    $24.54

    Facility

    $21.73

    $0.86 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 93565

    Office

    $24.01

    Facility

    $21.00

    $1.39 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 93565

    Office

    $23.43

    Facility

    $20.66

    $1.97 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 93565

    Office

    $26.13

    Facility

    $23.00

    $0.73 higher than El Centro for the office setting.

  • Northern Nj

    New Jersey · 93565

    Office

    $28.65

    Facility

    $25.17

    $3.25 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 93565

    Office

    $27.98

    Facility

    $24.70

    $2.58 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 93565

    Office

    $26.69

    Facility

    $23.94

    $1.29 higher than El Centro for the office setting.

  • Nevada**

    Nevada · 93565

    Office

    $25.72

    Facility

    $22.71

    $0.32 higher than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93565

    Office

    $32.01

    Facility

    $28.43

    $6.61 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93565

    Office

    $28.54

    Facility

    $25.24

    $3.14 higher than El Centro for the office setting.

  • Queens

    New York · 93565

    Office

    $30.30

    Facility

    $26.75

    $4.90 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 93565

    Office

    $24.90

    Facility

    $22.04

    $0.50 lower than El Centro for the office setting.

  • Ohio

    Ohio · 93565

    Office

    $25.90

    Facility

    $23.15

    $0.50 higher than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 93565

    Office

    $24.85

    Facility

    $22.17

    $0.55 lower than El Centro for the office setting.

  • Portland

    Oregon · 93565

    Office

    $26.29

    Facility

    $22.95

    $0.89 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 93565

    Office

    $25.17

    Facility

    $22.18

    $0.23 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93565

    Office

    $27.70

    Facility

    $24.57

    $2.30 higher than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93565

    Office

    $25.67

    Facility

    $22.91

    $0.27 higher than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 93565

    Office

    $26.39

    Facility

    $23.35

    $0.99 higher than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 93565

    Office

    $26.46

    Facility

    $23.36

    $1.06 higher than El Centro for the office setting.

  • South Carolina

    South Carolina · 93565

    Office

    $25.33

    Facility

    $22.55

    $0.07 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 93565

    Office

    $23.73

    Facility

    $20.72

    $1.67 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 93565

    Office

    $23.98

    Facility

    $21.25

    $1.42 lower than El Centro for the office setting.

  • Austin

    Texas · 93565

    Office

    $26.31

    Facility

    $23.13

    $0.91 higher than El Centro for the office setting.

  • Beaumont

    Texas · 93565

    Office

    $25.56

    Facility

    $22.83

    $0.16 higher than El Centro for the office setting.

  • Brazoria

    Texas · 93565

    Office

    $25.58

    Facility

    $22.60

    $0.18 higher than El Centro for the office setting.

  • Dallas

    Texas · 93565

    Office

    $25.94

    Facility

    $22.95

    $0.54 higher than El Centro for the office setting.

  • Fort Worth

    Texas · 93565

    Office

    $25.93

    Facility

    $22.97

    $0.53 higher than El Centro for the office setting.

  • Galveston

    Texas · 93565

    Office

    $25.79

    Facility

    $22.80

    $0.39 higher than El Centro for the office setting.

  • Houston

    Texas · 93565

    Office

    $27.98

    Facility

    $25.00

    $2.58 higher than El Centro for the office setting.

  • Rest Of Texas

    Texas · 93565

    Office

    $25.69

    Facility

    $22.84

    $0.29 higher than El Centro for the office setting.

  • Utah

    Utah · 93565

    Office

    $25.62

    Facility

    $22.79

    $0.22 higher than El Centro for the office setting.

  • Virginia

    Virginia · 93565

    Office

    $25.11

    Facility

    $22.15

    $0.29 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93565

    Office

    $26.39

    Facility

    $23.35

    $0.99 higher than El Centro for the office setting.

  • Vermont

    Vermont · 93565

    Office

    $24.35

    Facility

    $21.37

    $1.05 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 93565

    Office

    $25.96

    Facility

    $22.79

    $0.56 higher than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 93565

    Office

    $27.84

    Facility

    $24.15

    $2.44 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 93565

    Office

    $23.36

    Facility

    $20.48

    $2.04 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 93565

    Office

    $27.33

    Facility

    $24.71

    $1.93 higher than El Centro for the office setting.

  • Wyoming**

    Wyoming · 93565

    Office

    $25.34

    Facility

    $22.34

    $0.06 lower than El Centro for the office setting.

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 / territoryRate rangeLocalities
AK$33.161
AL$23.901
AR$23.601
AZ$25.621
CA$25.38–$28.9829
CO$26.091
CT$28.021
DC$28.791
DE$25.991
FL$28.14–$32.763
GA$26.51–$27.342
GU$25.521
HI$25.521
IA$23.461
ID$23.791
IL$28.12–$31.724
IN$23.891
KS$23.821
KY$25.381
LA$25.53–$26.582
MA$26.15–$27.782
MD$26.29–$28.793
ME$24.39–$24.852
MI$26.38–$28.932
MN$23.741
MO$25.45–$26.113
MS$24.501
MT$26.381
NC$24.541
ND$24.011
NE$23.431
NH$26.131
NJ$27.98–$28.652
NM$26.691
NV$25.721
NY$24.90–$32.015
OH$25.901
OK$24.851
OR$25.17–$26.292
PA$25.67–$27.702
PR$26.391
RI$26.461
SC$25.331
SD$23.731
TN$23.981
TX$25.56–$27.988
UT$25.621
VA$25.11–$28.792
VI$26.391
VT$24.351
WA$25.96–$27.842
WI$23.361
WV$27.331
WY$25.341

Explore 93565 on the national rate map →

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.

Why are the office and facility amounts different?

For 93565 in El Centro, the physician’s office rate is $25.40 and the facility-setting rate is $22.11: a difference of $3.29.

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 93565 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$27.94

$25.40 × 110% = $27.94

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 93565 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

12,135

Code
93565
Physician work
0.49
Practice expense
0.18
Malpractice
0.12

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 93565 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0170.4983
Practice expense0.18× 1.0960.1973
Malpractice0.12× 0.5410.0649
Total RVUs0.7605
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$25.40

Open 93565 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.491.017
Practice expense0.181.096
Malpractice0.120.541

(0.49 × 1.017 + 0.18 × 1.096 + 0.12 × 0.541) × $33.4009 = $25.40

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.491.017
Practice expense0.091.096
Malpractice0.120.541

(0.49 × 1.017 + 0.09 × 1.096 + 0.12 × 0.541) × $33.4009 = $22.11

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

93565 · Office / nonfacility

$25.40

Effective 2026-10-01

The base rate is $0.59 higher than on 2025-10-01, moving from $24.81 to $25.40 (2.4%).

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

    $24.81changed to$25.40

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.17 changed to 0.18
    • Malpractice RVU 0.13 changed to 0.12
    • 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.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $24.81

    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$25.40$22.11RVU26D
2026-07-01$25.40$22.11RVU26C
2026-04-01$25.40$22.11RVU26B
2026-01-01$25.40$22.11RVU26A
2025-10-01$24.81$24.81RVU25D
2025-07-01$24.81$24.81RVU25C
2025-04-01$24.81$24.81RVU25B
2025-01-01$24.81$24.81RVU25A

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.

RVUs for 93565PPRRVU2026_Oct_nonQPP.csv, line 12,135 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)