$772.34–$866.56
93451 reports right heart catheterization and hemodynamic measurements. Use 93505 for myocardial tissue sampling; both may be reported when each service is performed and supported.
On this page
CMS RVU26D · Effective 2026-10-01
93505 Heart biopsy Medicare reimbursement rates in Georgia
Reports catheter-based sampling of heart muscle, commonly to evaluate suspected transplant rejection, myocarditis, or another myocardial disorder. Compare 93505 office and facility rates across CMS payment localities in Georgia.
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 93505 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$597.80–$660.18
2 of 2 localities have a supported rate.
Facility setting
No supported rate
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.
Cardiology procedure
About 93505: Endomyocardial tissue biopsy
Reports catheter-based sampling of heart muscle, commonly to evaluate suspected transplant rejection, myocarditis, or another myocardial disorder.
A cardiologist obtains small samples of heart muscle by advancing a biopsy catheter through vascular access into the heart, usually to sample the right ventricle. The specimens are sent for laboratory examination. A common indication is surveillance for rejection after heart transplantation; clinicians may also request tissue evaluation for suspected myocarditis or other myocardial disease. The service is typically performed in a cardiac catheterization laboratory or hospital procedure setting.
Report 93505 for the biopsy procedure, supported by documentation of the clinical indication and tissue sampling. When the diagnostic service is divided, modifier 26 identifies the professional interpretation and modifier TC identifies the technical service; without either modifier, the claim represents the global service. The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 93505
- 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 RVU4.02 · 21%
- Practice expense (office) RVU14.93 · 77%
- Malpractice RVU0.47 · 2%
8.2K
Medicare services in 2024 · #1579 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.
93505 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
93503 concerns placement of a flow-directed heart catheter, not tissue sampling. It does not describe an endomyocardial biopsy.
$254.18–$282.10
88307 represents a surgical pathology examination of tissue. It is not the catheter-based collection of the myocardial specimen reported with 93505.
Compare 93505 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$660.18
Facility
Unavailable
Rest Of Georgia →
Office / nonfacility
$597.80
Facility
Unavailable
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93505 billing questions
How is a heart biopsy different from right heart catheterization?
93505 reports sampling of heart muscle. A right heart catheterization such as 93451 reports hemodynamic catheter measurements; it may be performed during the same encounter when separately supported.
Can pathology be billed separately?
Yes. The biopsy procedure and the pathologist’s examination of the submitted tissue are distinct services; the pathology claim should reflect the examination actually performed.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation or TC for the technical service when those components are billed separately. Billing without either modifier represents the global service.
Does 93505 have a global period?
It has a 0-day global period, so same-day preoperative and postoperative care is included.
How are other same-session procedures paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures performed in that session are reduced.
Can modifier 50 or an assistant surgeon be reported?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity.
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.
12,12793464,26,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
12,12893464,TC,Exercise w/hemodynamic meas,A,,0.00,4.05,,4.05,NA,0.01,4.06,4.06,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,12993503,,Insert/place heart catheter,A,,1.95,0.31,NA,0.31,,0.18,2.44,2.44,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13093505,,Endomyocardial biopsy,A,,4.02,14.93,,14.93,NA,0.47,19.42,19.42,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13193505,26,Endomyocardial biopsy,A,,4.02,2.08,,2.08,,0.45,6.55,6.55,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13293505,TC,Endomyocardial biopsy,A,,0.00,12.85,,12.85,NA,0.02,12.87,12.87,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,13393563,,Njx cgen car cth slctv c ang,A,,0.98,0.37,,0.19,,0.16,1.51,1.33,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00