$93.32
Choose 93464 for hemodynamic assessment during exercise; choose 93463 when a pharmacologic agent is administered for the assessment.
On this page
CMS RVU26D · Effective 2026-10-01
93464 Exercise hemodynamics Medicare reimbursement rates in Minnesota
Reports exercise-provoked hemodynamic measurements obtained during cardiac catheterization to evaluate how cardiovascular pressures and output change with exertion. Compare 93464 office and facility rates across CMS payment localities in Minnesota.
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 93464 in Minnesota?
Minnesota 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
$226.17
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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.
Cardiac catheterization
About 93464: Exercise hemodynamic study during catheterization
Reports exercise-provoked hemodynamic measurements obtained during cardiac catheterization to evaluate how cardiovascular pressures and output change with exertion.
This add-on captures hemodynamic measurements taken while a patient exercises during cardiac catheterization, commonly using bicycle or arm ergometry. Cardiologists and other physicians performing catheterization may use it when symptoms such as exertional dyspnea are not explained by resting measurements, or when they need to assess exercise-related changes in cardiac filling or pulmonary pressures. Cardiac output may be measured, with or without oxygen-consumption measurement, as part of the exercise assessment.
Report 93464 with the primary cardiac catheterization code for the procedure performed; it is not a stand-alone service. The record should identify the exercise method and document the relevant baseline and exercise measurements and physician interpretation. CMS treats it as an add-on paid within the primary procedure’s global period. The diagnostic test has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service.
CMS billing rules for 93464
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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.
Where the value comes from
- Work RVU1.76 · 26%
- Practice expense (office) RVU4.85 · 73%
- Malpractice RVU0.07 · 1%
1.3K
Medicare services in 2024 · #2789 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.
93464 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$863.46
93451 reports right heart catheterization. Add 93464 when exercise hemodynamic measurements are also performed during the catheterization.
$1,112.95
93453 reports combined right and left heart catheterization. It does not by itself identify the additional exercise hemodynamic study reported with 93464.
Compare 93464 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
Minnesota →
Office / nonfacility
$226.17
Facility
Unavailable
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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 93464 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
12,126
- Code
- 93464
- Physician work
- 1.76
- Practice expense
- 4.85
- Malpractice
- 0.07
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 4.85 | × 1.029 | 4.9906 |
| Malpractice | 0.07 | × 0.296 | 0.0207 |
| Total RVUs | 6.7714 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$226.17
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 4.85 | 1.029 |
| Malpractice | 0.07 | 0.296 |
(1.76 × 1 + 4.85 × 1.029 + 0.07 × 0.296) × $33.4009 = $226.17
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.
93464 billing questions
Can 93464 be billed by itself?
No. It is an add-on and must be reported with the primary cardiac catheterization code for the procedure performed.
How is 93464 different from 93463?
93464 reports hemodynamic assessment during physiologic exercise, such as bicycle or arm ergometry. 93463 is the related add-on for assessment involving administration of a pharmacologic agent.
Which component modifier should the claim use?
Use modifier 26 for the professional interpretation or TC for the technical service involving equipment and staff. Without a modifier, the claim represents the global service.
What documentation supports reporting 93464?
Document the exercise method, the hemodynamic measurements obtained at rest and during exercise, and the physician’s interpretation of the findings.
Is 93464 paid within the catheterization global period?
Yes. CMS identifies 93464 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.
12,12393461,TC,R&l hrt art/ventricle angio,A,,0.00,27.69,,27.69,NA,0.07,27.76,27.76,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,12493462,,L hrt cath trnsptl puncture,A,,3.64,1.60,,0.80,,0.86,6.10,5.30,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12593463,,Drug admin & hemodynmic meas,A,,1.95,0.78,,0.39,,0.14,2.87,2.48,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12693464,,Exercise w/hemodynamic meas,A,,1.76,4.85,,4.85,NA,0.07,6.68,6.68,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12793464,26,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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002