$916.04
93452 reports a primary left heart catheterization with ventriculography. Report 93462 in addition when the left heart catheterization uses transseptal access.
On this page
CMS RVU26D · Effective 2026-10-01
93462 Left heart cath Medicare reimbursement rates in Colorado
Reports left-sided cardiac catheterization performed through a transseptal puncture, added to a qualifying diagnostic catheterization when this access is used. Compare 93462 office and facility rates across CMS payment localities in Colorado.
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 93462 in Colorado?
Colorado 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
$202.33
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$173.90
1 of 1 localities have a supported rate.
Payment area: Colorado
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 93462: Transseptal left heart catheterization
Reports left-sided cardiac catheterization performed through a transseptal puncture, added to a qualifying diagnostic catheterization when this access is used.
This service covers puncturing the interatrial septum and advancing a catheter into the left heart for diagnostic catheterization. A cardiologist typically performs it in a cardiac catheterization laboratory when left-sided pressure or other hemodynamic assessment is needed through transseptal access. The technique may be selected for patients whose anatomy or clinical circumstances make this route appropriate for the planned left heart study.
Report 93462 only with a qualifying primary left heart catheterization code, such as 93452, 93453, or 93458–93461. The record should support the transseptal approach and the left heart catheterization performed, including relevant catheter findings or hemodynamic measurements. CMS classifies 93462 as an add-on code; it is billed with the primary procedure and paid within that procedure’s global period.
CMS billing rules for 93462
- 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 RVU3.64 · 60%
- Practice expense (office) RVU1.60 · 26%
- Malpractice RVU0.86 · 14%
8.1K
Medicare services in 2024 · #1582 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.
93462 compared with similar codes
Office rates for Colorado, from the same CMS release.
$1,054.52
93458 represents a left heart and coronary angiographic study. 93462 is an add-on for the transseptal approach to the left heart catheterization.
$1,257.69
93460 represents a combined right and left heart and coronary study. Add 93462 when its left heart catheterization is performed through transseptal access.
Compare 93462 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
Colorado →
Office / nonfacility
$202.33
Facility
$173.90
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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 93462 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
12,124
- Code
- 93462
- Physician work
- 3.64
- Practice expense
- 1.60
- Malpractice
- 0.86
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.64 | × 1.012 | 3.6837 |
| Practice expense | 1.60 | × 1.064 | 1.7024 |
| Malpractice | 0.86 | × 0.781 | 0.6717 |
| Total RVUs | 6.0577 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$202.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.64 | 1.012 |
| Practice expense | 1.6 | 1.064 |
| Malpractice | 0.86 | 0.781 |
(3.64 × 1.012 + 1.6 × 1.064 + 0.86 × 0.781) × $33.4009 = $202.33
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.64 | 1.012 |
| Practice expense | 0.8 | 1.064 |
| Malpractice | 0.86 | 0.781 |
(3.64 × 1.012 + 0.8 × 1.064 + 0.86 × 0.781) × $33.4009 = $173.90
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.
93462 billing questions
Can 93462 be billed by itself?
No. It is an add-on for transseptal left heart catheterization and must be reported with a qualifying primary procedure.
Which primary catheterization codes can be paired with 93462?
It may be paired with 93452, 93453, or 93458–93461 when the left heart catheterization is performed through transseptal access.
How is 93462 different from 93458?
93458 represents a left heart and coronary angiographic study. Add 93462 when the left heart catheterization also uses transseptal access.
What should the procedure note support?
Document the transseptal access and the left heart catheterization performed, with pertinent catheter findings or hemodynamic measurements.
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.
12,12193461,,R&l hrt art/ventricle angio,A,,7.65,30.58,,30.58,NA,1.56,39.79,39.79,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12293461,26,R&l hrt art/ventricle angio,A,,7.65,2.89,,2.89,,1.49,12.03,12.03,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12393461,TC,R&l hrt art/ventricle angio,A,,0.00,27.69,,27.69,NA,0.07,27.76,27.76,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,12493462,,L hrt cath trnsptl puncture,A,,3.64,1.60,,0.80,,0.86,6.10,5.30,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12593463,,Drug admin & hemodynmic meas,A,,1.95,0.78,,0.39,,0.14,2.87,2.48,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12693464,,Exercise w/hemodynamic meas,A,,1.76,4.85,,4.85,NA,0.07,6.68,6.68,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12793464,26,Exercise w/hemodynamic meas,A,,1.76,0.80,,0.80,,0.06,2.62,2.62,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899