$767.28
93451 covers right heart catheterization alone. Choose 93456 when coronary angiography is also performed in the diagnostic session.
On this page
CMS RVU26D · Effective 2026-10-01
93456 Cardiac catheterization Medicare reimbursement rates in Oklahoma
Reports right-sided intracardiac hemodynamic assessment combined with coronary artery imaging during a diagnostic catheterization, without left heart catheterization. Compare 93456 office and facility rates across CMS payment localities in Oklahoma.
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 93456 in Oklahoma?
Oklahoma 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
$992.59
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 93456: Right heart catheterization with coronary angiography
Reports right-sided intracardiac hemodynamic assessment combined with coronary artery imaging during a diagnostic catheterization, without left heart catheterization.
A cardiologist typically performs this diagnostic study in a cardiac catheterization laboratory. Catheters are used to measure pressures and hemodynamics in the right heart and pulmonary circulation, while contrast imaging evaluates the coronary arteries. It may be selected when the clinical evaluation needs both right-sided hemodynamic information and anatomic assessment of coronary disease. The service does not include left heart catheterization or bypass graft angiography.
Report 93456 when both the right heart catheterization and coronary angiography are performed; documentation should support the clinical need, right-sided measurements, and coronary imaging and findings. The code has a 0-day global period, so same-day preoperative and postoperative care is included. It may be billed globally or with modifier 26 for interpretation or TC for the technical portion. When other procedures subject to the standard multiple procedure reduction are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 93456
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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.
- 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 RVU5.75 · 18%
- Practice expense (office) RVU25.83 · 79%
- Malpractice RVU1.16 · 4%
20.1K
Medicare services in 2024 · #1147 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.
93456 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$796.12
93454 covers coronary angiography without right heart catheterization. Choose 93456 when right-sided hemodynamic catheterization is also performed.
$1,083.69
93457 includes bypass graft angiography in addition to the right heart and coronary study. 93456 does not include graft imaging.
$1,096.06
93460 includes both right and left heart catheterization with coronary angiography. 93456 is the option when the study includes right heart catheterization and coronary angiography without left heart catheterization.
Compare 93456 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
Oklahoma →
Office / nonfacility
$992.59
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 93456 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
12,106
- Code
- 93456
- Physician work
- 5.75
- Practice expense
- 25.83
- Malpractice
- 1.16
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.75 | × 1.000 | 5.7500 |
| Practice expense | 25.83 | × 0.893 | 23.0662 |
| Malpractice | 1.16 | × 0.777 | 0.9013 |
| Total RVUs | 29.7175 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$992.59
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.75 | 1 |
| Practice expense | 25.83 | 0.893 |
| Malpractice | 1.16 | 0.777 |
(5.75 × 1 + 25.83 × 0.893 + 1.16 × 0.777) × $33.4009 = $992.59
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.
93456 billing questions
When should 93456 be chosen over 93451?
Use 93456 when the same diagnostic session includes right heart catheterization and coronary angiography. Use 93451 when the service is right heart catheterization without the coronary imaging.
How does 93456 differ from 93454?
93456 includes right-sided hemodynamic catheterization along with coronary angiography. 93454 describes coronary angiography without the right heart catheterization.
Can right heart catheterization or coronary angiography be billed separately with 93456?
Both services are represented in 93456 when performed as part of the combined study. Do not separately report the component service for the same work.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation and modifier TC identifies the technical portion; billing without either modifier represents the global service.
Is modifier 50 appropriate, and how are other same-session procedures handled?
Modifier 50 is inappropriate for this code. When another procedure subject to the standard multiple procedure reduction is performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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.
12,10393455,,Coronary art/grft angio s&i,A,,5.16,23.08,,23.08,NA,1.08,29.32,29.32,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,10493455,26,Coronary art/grft angio s&i,A,,5.16,1.95,,1.95,,1.03,8.14,8.14,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,10593455,TC,Coronary art/grft angio s&i,A,,0.00,21.13,,21.13,NA,0.05,21.18,21.18,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,10693456,,R hrt coronary artery angio,A,,5.75,25.83,,25.83,NA,1.16,32.74,32.74,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,10793456,26,R hrt coronary artery angio,A,,5.75,2.21,,2.21,,1.11,9.07,9.07,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,10893456,TC,R hrt coronary artery angio,A,,0.00,23.62,,23.62,NA,0.05,23.67,23.67,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,10993457,,R hrt art/grft angio,A,,6.47,27.93,,27.93,NA,1.33,35.73,35.73,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193