No office rate
Use 93580 for transcatheter closure of an interatrial communication, such as an atrial septal defect; 93582 is for a PDA.
On this page
CMS RVU26D · Effective 2026-10-01
93582 PDA closure Medicare reimbursement rates in Massachusetts
Reports catheter-based closure of a patent ductus arteriosus, typically performed by a congenital interventional cardiologist for a clinically significant ductal shunt. Compare 93582 office and facility rates across CMS payment localities in Massachusetts.
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 93582 in Massachusetts?
Massachusetts 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
No supported rate
Facility setting
$562.41–$591.89
2 of 2 localities have a 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.
Interventional cardiology
About 93582: Percutaneous transcatheter PDA closure
Reports catheter-based closure of a patent ductus arteriosus, typically performed by a congenital interventional cardiologist for a clinically significant ductal shunt.
This service closes a patent ductus arteriosus, the persistent connection between the aorta and pulmonary artery, using a catheter-delivered occlusion device. A congenital interventional cardiologist typically performs the procedure in a cardiac catheterization laboratory, using imaging to guide device placement and confirm closure. It is used when the ductal connection warrants intervention, such as when it causes an excessive left-to-right shunt.
Report 93582 for the transcatheter ductal closure, with documentation identifying the PDA, the intervention performed, and the device placement and result. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple 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. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 93582
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU12.00 · 70%
- Practice expense (office) RVU2.24 · 13%
- Malpractice RVU2.87 · 17%
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Medicare services in 2024 · #5851 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.
93582 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Use 93581 for transcatheter closure of a ventricular septal defect. The defect being closed, not simply the catheter-based approach, distinguishes it from 93582.
No office rate
This code describes open surgical PDA repair by division, with or without ligation. 93582 describes catheter-based closure.
Compare 93582 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$591.89
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$562.41
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93582 billing questions
How is 93582 different from 93580 or 93581?
93582 is for catheter-based closure of a patent ductus arteriosus. 93580 addresses an interatrial communication, while 93581 addresses a ventricular septal defect.
What documentation supports reporting 93582?
Document the PDA, the clinical reason for closure, the catheter-based intervention, device placement, and the procedural result.
Is same-day preoperative or postoperative care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple procedure reduction.
Can an assistant be reported for this procedure?
Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
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.
12,14893575,,Njx cath slct p angrph mapca,A,,1.87,0.70,,0.35,,0.13,2.70,2.35,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,14993580,,Transcath closure of asd,A,,17.52,3.69,NA,3.69,,4.06,25.27,25.27,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15093581,,Transcath closure of vsd,A,,23.78,4.82,NA,4.82,,5.70,34.30,34.30,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15193582,,Perq transcath closure pda,A,,12.00,2.24,NA,2.24,,2.87,17.11,17.11,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15293583,,Perq transcath septal reduxn,A,,13.41,2.58,NA,2.58,,3.20,19.19,19.19,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15393584,,Vngrph chd anom/persist svc,A,,1.17,0.22,NA,0.22,,0.07,1.46,1.46,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15493585,,Vngrph chd azygs/hemiazygs,A,,1.10,0.21,NA,0.21,,0.07,1.38,1.38,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00