No office rate
Use 93580 for closure of a communication between the atria; use 93581 for a ventricular septal defect.
On this page
CMS RVU26D · Effective 2026-10-01
93580 ASD closure Medicare reimbursement rates in Missouri
Reports catheter-based device closure of an atrial septal defect or other congenital interatrial communication in a cardiac catheterization setting. Compare 93580 office and facility rates across CMS payment localities in Missouri.
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 93580 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$823.51–$838.40
3 of 3 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.
Where 93580 pays more and less in Missouri
Structural heart intervention
About 93580: Transcatheter atrial septal defect closure
Reports catheter-based device closure of an atrial septal defect or other congenital interatrial communication in a cardiac catheterization setting.
This service closes an atrial septal defect or another congenital communication between the atria by delivering an occlusion device through a catheter. It is commonly performed for a suitably selected secundum ASD by an interventional cardiologist or congenital heart specialist in a cardiac catheterization laboratory, with imaging used to guide device placement and assess the result.
Report the code for the transcatheter closure service, supported by documentation of the defect or communication, its clinical indication and anatomy, device deployment, and the completion assessment. The procedure 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 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 93580
- 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 RVU17.52 · 69%
- Practice expense (office) RVU3.69 · 15%
- Malpractice RVU4.06 · 16%
2.8K
Medicare services in 2024 · #2231 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.
93580 compared with similar codes
Office rates for Missouri, from the same CMS release.
Compare 93580 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$833.40
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$838.40
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$823.51
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93580 billing questions
How is this code distinguished from 93581?
93580 is for catheter-based closure of an interatrial communication, such as an ASD. 93581 describes closure of a ventricular septal defect.
Is this code reported for each closure device?
The code represents the transcatheter closure service, not a separate line for each device. Document the defect treated and the device deployment; do not infer units from the number of devices.
Can modifier 50 be used?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the anatomy and service.
How does the multiple procedure rule affect same-session services?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.
12,14693573,,Njx cath slct p-art angrp bi,A,,1.27,0.48,,0.24,,0.08,1.83,1.59,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,14793574,,Njx cath slct pulm vn angrph,A,,1.40,0.52,,0.27,,0.09,2.01,1.76,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,14893575,,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