$46.16
Use 93563 for selective coronary artery angiography. Use 93565 for selective angiography of the left ventricle or left atrium.
On this page
CMS RVU26D · Effective 2026-10-01
93565 Cardiac angiography Medicare reimbursement rates in Iowa
Selective left ventricular or left atrial angiography during cardiac catheterization is reported when catheter-directed contrast imaging assesses chamber anatomy or function. Compare 93565 office and facility rates across CMS payment localities in Iowa.
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 93565 in Iowa?
Iowa 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
$23.46
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$20.71
1 of 1 localities have a supported rate.
Payment area: Iowa
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 93565: Selective left chamber angiography
Selective left ventricular or left atrial angiography during cardiac catheterization is reported when catheter-directed contrast imaging assesses chamber anatomy or function.
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.
CMS billing rules for 93565
- 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 RVU0.49 · 62%
- Practice expense (office) RVU0.18 · 23%
- Malpractice RVU0.12 · 15%
41
Medicare services in 2024 · #5493 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.
93565 compared with similar codes
Office rates for Iowa, from the same CMS release.
$23.23
93566 covers selective angiography of right-sided chambers; 93565 covers left-sided chambers.
$47.76
93564 identifies contrast imaging of aortocoronary venous bypass grafts, rather than left ventricular or left atrial angiography.
Compare 93565 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
Iowa →
Office / nonfacility
$23.46
Facility
$20.71
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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 93565 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
12,135
- Code
- 93565
- Physician work
- 0.49
- Practice expense
- 0.18
- Malpractice
- 0.12
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 0.18 | × 0.915 | 0.1647 |
| Malpractice | 0.12 | × 0.397 | 0.0476 |
| Total RVUs | 0.7023 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$23.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1 |
| Practice expense | 0.18 | 0.915 |
| Malpractice | 0.12 | 0.397 |
(0.49 × 1 + 0.18 × 0.915 + 0.12 × 0.397) × $33.4009 = $23.46
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1 |
| Practice expense | 0.09 | 0.915 |
| Malpractice | 0.12 | 0.397 |
(0.49 × 1 + 0.09 × 0.915 + 0.12 × 0.397) × $33.4009 = $20.71
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.
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 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.
12,13293505,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
12,13793567,,Njx car cth sprvlv aortgrphy,A,,0.68,0.26,,0.13,,0.16,1.10,0.97,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,13893568,,Njx car cth nslc p-art angrp,A,,0.86,0.33,,0.17,,0.18,1.37,1.21,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136