CPT code 93565: Cardiac angiography2026 Medicare rate & RVUs in Georgia

Selective left ventricular or left atrial angiography during cardiac catheterization is reported when catheter-directed contrast imaging assesses chamber anatomy or function.

CMS RVU26DEffective Oct 1, 20262 payment localities41 Medicare services in 2024

Medicare pays $26.51–$27.34 for 93565 in the office in Georgia, from Rest Of Georgia to Atlanta. Which amount applies depends on the service address.

$26.51–$27.34Office (non-facility)
$23.83–$24.28Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93565 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Georgia
  2. What 93565 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 93565 covers

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.

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.

Where 93565 pays more and less in Georgia

93565 office and facility rates by payment locality
Payment localityOfficeFacility
Atlanta$27.34$24.28
Rest Of Georgia$26.51$23.83

How the 93565 rate is calculated

Each of 93565’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 93565

RVUs × geographic indexes × conversion factor

Work0.49

0.49 RVUs× 1.000 GPCI

Practice expense0.18

0.18 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

0.7900

Conversion factor

$33.4009

Medicare rate

$26.39

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 93565

The CMS indicators that decide how 93565 is paid alongside other services.

CMS payment indicators · 93565

Cardiac angiography

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

93565 compared with similar codes

Compare codes · National

4 codes, side by side

  • 93565

    Cardiac angiography0.49 wRVU

    $26.39

  • 93563

    Coronary angiography0.98 wRVU

    $50.44+$24.05

  • 93566

    Chamber angiography0.49 wRVU

    $25.38−$1.01

  • 93564

    Graft angiography1 wRVU

    $53.44+$27.05

How to choose

93563Coronary angiography
Use 93563 for selective coronary artery angiography. Use 93565 for selective angiography of the left ventricle or left atrium.
93566Chamber angiography
93566 covers selective angiography of right-sided chambers; 93565 covers left-sided chambers.
93564Graft angiography
93564 identifies contrast imaging of aortocoronary venous bypass grafts, rather than left ventricular or left atrial angiography.

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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 93565PPRRVU2026_Oct_nonQPP.csv, line 12,135 (RVU26D)

Open CMS sourceHow we calculate rates

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