Billing code 93587: VenographyMedicare rate & RVUs in Ohio
Reports catheter-based venography to assess venovenous collateral pathways at or above the diaphragm during a congenital heart catheterization.
CMS doesn’t publish an office rate for 93587 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 93587 covers
This add-on describes contrast venography used to evaluate venovenous collateral pathways in a patient with congenital heart disease when the pathways are at or above the diaphragm. A congenital or interventional cardiologist typically performs the catheter work in a cardiac catheterization laboratory, with imaging used to show the collateral anatomy. It is distinct from venography directed at a named structure such as the coronary sinus or azygos system.
Report 93587 only with a qualifying primary procedure; it is not a stand-alone service. The record should identify the venovenous collateral pathway and its location, and support why its anatomy was evaluated. CMS treats the code as an add-on paid within the primary procedure’s global period. Distinguish it from 93588 when the venovenous collateral is below the diaphragm, and from other congenital venography add-ons when the study targets a specifically named structure.
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.
93587 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $85.44 |
How the 93587 rate is calculated
Each of 93587’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93587
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.06Practice expense 0.38Malpractice 0.15
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93587
The CMS indicators that decide how 93587 is paid alongside other services.
CMS payment indicators · 93587
Venography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
93587 compared with similar codes
Compare codes
93587 vs 93588 vs 93586 vs 93585: national Medicare rates
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How to choose
- 93588Congenital venography
- Both address venovenous collateral pathways; select 93587 for a pathway at or above the diaphragm and 93588 for one below it.
- 93586Coronary sinus venography
- 93586 is directed at coronary sinus venography. Use 93587 for venovenous collateral pathways at or above the diaphragm.
- 93585Congenital venography
- 93585 identifies venography of the azygos or hemiazygos system; 93587 addresses venovenous collateral pathways at or above the diaphragm.
93587 billing questions
How is 93587 distinguished from 93588?
Use 93587 for venovenous collateral pathways at or above the diaphragm. Code 93588 describes the corresponding assessment below the diaphragm.
Can 93587 be billed by itself?
No. CMS identifies it as an add-on code that must be reported with a primary procedure.
Which documentation supports reporting 93587?
Document the venovenous collateral pathway assessed, its location at or above the diaphragm, and the imaging performed to evaluate it.
Is this the code for coronary sinus venography?
No. Coronary sinus venography is represented by 93586. Use 93587 for venovenous collateral pathways at or above the diaphragm.
How does CMS handle payment timing for this add-on?
CMS places payment for 93587 within the global period of the primary procedure with which it is reported.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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