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 Coronary sinus venography Medicare reimbursement rates in Alabama
Maps the coronary sinus during congenital heart catheterization when imaging of this venous structure is needed to define cardiac anatomy or venous connections. Compare 93586 office and facility rates across CMS payment localities in Alabama.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 93586 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$57.00
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alabama, 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.
Compare 93586 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$57.00
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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 Alabama.
PPRRVU2026_Oct_nonQPP.csv
12,155
- Code
- 93586
- Physician work
- 1.39
- Practice expense
- 0.31
- Malpractice
- 0.08
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.39 | × 1.000 | 1.3900 |
| Practice expense | 0.31 | × 0.875 | 0.2712 |
| Malpractice | 0.08 | × 0.566 | 0.0453 |
| Total RVUs | 1.7065 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$57.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.39 | 1 |
| Practice expense | 0.31 | 0.875 |
| Malpractice | 0.08 | 0.566 |
(1.39 × 1 + 0.31 × 0.875 + 0.08 × 0.566) × $33.4009 = $57.00
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.
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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515