No office rate
Both address venovenous collateral pathways; select 93587 for a pathway at or above the diaphragm and 93588 for one below it.
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CMS RVU26D · Effective 2026-10-01
93587 Venography Medicare reimbursement rates in Pennsylvania
Reports catheter-based venography to assess venovenous collateral pathways at or above the diaphragm during a congenital heart catheterization. Compare 93587 office and facility rates across CMS payment localities in Pennsylvania.
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 93587 in Pennsylvania?
Pennsylvania 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
$85.19–$89.23
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.
Congenital cardiac catheterization
About 93587: Congenital venovenous collateral venography
Reports catheter-based venography to assess venovenous collateral pathways at or above the diaphragm during a congenital heart catheterization.
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.
CMS billing rules for 93587
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.06 · 80%
- Practice expense (office) RVU0.38 · 15%
- Malpractice RVU0.15 · 6%
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 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
93586 is directed at coronary sinus venography. Use 93587 for venovenous collateral pathways at or above the diaphragm.
No office rate
93585 identifies venography of the azygos or hemiazygos system; 93587 addresses venovenous collateral pathways at or above the diaphragm.
Compare 93587 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 Philadelphia →
Office / nonfacility
Unavailable
Facility
$89.23
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$85.19
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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 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.
12,15393584,,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
12,15593586,,Vngrph chd coronary sinus,A,,1.39,0.31,NA,0.31,,0.08,1.78,1.78,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15693587,,Vngrph chd vnvn cltrl at/abv,A,,2.06,0.38,NA,0.38,,0.15,2.59,2.59,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15793588,,Vngrph chd vnvn cltrl below,A,,2.08,0.38,NA,0.38,,0.15,2.61,2.61,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15893590,,Perq transcath cls mitral,A,,21.16,4.40,NA,4.40,,1.76,27.32,27.32,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15993591,,Perq transcath cls aortic,A,,17.52,3.63,NA,3.63,,1.36,22.51,22.51,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00