$48.40
Use 93563 for selective coronary artery imaging during congenital catheterization; use 93564 for selective opacification of aortocoronary bypass grafts.
On this page
CMS RVU26D · Effective 2026-10-01
93563 Coronary angiography Medicare reimbursement rates in Idaho
Reports selective coronary angiographic imaging performed during congenital heart catheterization to evaluate coronary anatomy, including coronary origins and course. Compare 93563 office and facility rates across CMS payment localities in Idaho.
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 93563 in Idaho?
Idaho 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
$46.63
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$41.10
1 of 1 localities have a supported rate.
Payment area: Idaho
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 93563: Selective coronary angiography in congenital catheterization
Reports selective coronary angiographic imaging performed during congenital heart catheterization to evaluate coronary anatomy, including coronary origins and course.
During congenital heart catheterization, the physician selectively engages the coronary arteries, injects contrast, and obtains angiographic images for interpretation. A congenital or interventional cardiologist typically performs this work in a cardiac catheterization laboratory. The images may help define coronary anatomy, such as the origin and course of the arteries, in a patient with congenital heart disease.
Report 93563 as an add-on with the primary congenital heart catheterization procedure, not as a stand-alone service. Documentation should identify the congenital catheterization, the selectively imaged coronary arteries, the injection and imaging performed, and the physician’s interpretation. Distinguish native coronary angiography from angiography of bypass grafts, which is described by a different add-on code. Under the CMS rule, payment for 93563 falls within the primary procedure’s global period.
CMS billing rules for 93563
- 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 RVU0.98 · 65%
- Practice expense (office) RVU0.37 · 25%
- Malpractice RVU0.16 · 11%
128
Medicare services in 2024 · #4683 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.
93563 compared with similar codes
Office rates for Idaho, from the same CMS release.
$23.79
93565 concerns selective left ventricular or left atrial angiography. 93563 concerns coronary angiography.
$23.47
93566 concerns selective right ventricular or right atrial angiography. 93563 concerns coronary angiography.
Compare 93563 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
Idaho →
Office / nonfacility
$46.63
Facility
$41.10
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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 93563 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
12,133
- Code
- 93563
- Physician work
- 0.98
- Practice expense
- 0.37
- Malpractice
- 0.16
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.98 | × 1.000 | 0.9800 |
| Practice expense | 0.37 | × 0.920 | 0.3404 |
| Malpractice | 0.16 | × 0.473 | 0.0757 |
| Total RVUs | 1.3961 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$46.63
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 0.37 | 0.92 |
| Malpractice | 0.16 | 0.473 |
(0.98 × 1 + 0.37 × 0.92 + 0.16 × 0.473) × $33.4009 = $46.63
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.98 | 1 |
| Practice expense | 0.19 | 0.92 |
| Malpractice | 0.16 | 0.473 |
(0.98 × 1 + 0.19 × 0.92 + 0.16 × 0.473) × $33.4009 = $41.10
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.
93563 billing questions
Can 93563 be billed by itself?
No. It is an add-on code and must be reported with a primary congenital heart catheterization procedure.
How does 93563 differ from 93564?
93563 describes selective imaging of the coronary arteries during congenital catheterization. 93564 describes selective opacification of aortocoronary bypass grafts.
Does 93563 describe left- or right-heart chamber angiography?
No. It concerns coronary angiography. Selective left- or right-heart chamber angiography is described by 93565 or 93566, respectively.
What documentation supports reporting 93563?
Document the primary congenital catheterization, selective coronary engagement and contrast imaging, the arteries imaged, and the interpretation of the angiographic findings.
How does CMS treat the payment period for 93563?
CMS treats 93563 as an add-on paid within the global period of the primary procedure.
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.
12,13093505,,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
12,13493564,,Njx cgen car cath slctv opac,A,,1.00,0.37,,0.19,,0.23,1.60,1.42,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13593565,,Njx car cth slctv lv/la ang,A,,0.49,0.18,,0.09,,0.12,0.79,0.70,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13693566,,Njx car cth slctv rv/ra ang,A,,0.49,0.19,,0.10,,0.08,0.76,0.67,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772