$983.50
Choose 93458 for left-heart catheterization with coronary angiography when a right-heart study is not performed. The combined right- and left-heart service supports 93460.
On this page
CMS RVU26D · Effective 2026-10-01
93460 Heart catheterization Medicare reimbursement rates in Vermont
Reports combined right- and left-heart catheterization with coronary angiography when clinicians need coronary anatomy and intracardiac hemodynamics during one diagnostic evaluation. Compare 93460 office and facility rates across CMS payment localities in Vermont.
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 93460 in Vermont?
Vermont 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
$1173.39
1 of 1 localities have a supported rate.
Payment area: Vermont
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 93460: Combined heart catheterization with coronary angiography
Reports combined right- and left-heart catheterization with coronary angiography when clinicians need coronary anatomy and intracardiac hemodynamics during one diagnostic evaluation.
A cardiologist typically performs this diagnostic catheterization in a cardiac catheterization laboratory to assess coronary anatomy and measure pressures in the right and left sides of the heart. The study can support evaluation of coronary artery disease, valve disease, pulmonary hypertension, or cardiomyopathy. It includes coronary angiographic imaging and left ventriculography when performed; the right- and left-heart measurements provide hemodynamic information that a coronary angiogram alone does not supply.
Select this code when the documented service includes both right- and left-heart catheterization and coronary angiography. The report should support the catheterization performed, the angiographic study, and the physician’s interpretation; bypass graft angiography points to a different code in this family. A 0-day global period includes same-day preoperative and postoperative care. The service may be billed globally or split into professional interpretation (modifier 26) and technical equipment and staff (modifier TC). When multiple procedures occur in one session, the highest-valued procedure is paid in full and 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 93460
- 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 RVU6.92 · 19%
- Practice expense (office) RVU27.78 · 77%
- Malpractice RVU1.40 · 4%
72.5K
Medicare services in 2024 · #658 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.
93460 compared with similar codes
Office rates for Vermont, from the same CMS release.
$1,293.07
93461 includes bypass graft angiography with the combined heart catheterization and coronary study. Use 93460 when graft angiography is not part of the documented service.
$1,086.81
93453 covers combined right- and left-heart catheterization with ventriculography but not coronary angiography. The coronary study distinguishes 93460.
$1,065.78
93456 combines right-heart catheterization and coronary angiography but does not include the left-heart catheterization component represented by 93460.
Compare 93460 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
Vermont →
Office / nonfacility
$1173.39
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 93460 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
12,118
- Code
- 93460
- Physician work
- 6.92
- Practice expense
- 27.78
- Malpractice
- 1.40
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.92 | × 1.000 | 6.9200 |
| Practice expense | 27.78 | × 0.990 | 27.5022 |
| Malpractice | 1.40 | × 0.506 | 0.7084 |
| Total RVUs | 35.1306 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$1173.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.92 | 1 |
| Practice expense | 27.78 | 0.99 |
| Malpractice | 1.4 | 0.506 |
(6.92 × 1 + 27.78 × 0.99 + 1.4 × 0.506) × $33.4009 = $1173.39
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.
93460 billing questions
When should this code be selected instead of 93458?
Use 93460 when the service includes right- and left-heart catheterization with coronary angiography. Code 93458 describes the left-heart and coronary study without the right-heart catheterization.
Is left ventriculography required?
The code includes left ventriculography when performed. The record should reflect what was actually done rather than implying a ventriculogram that was not obtained.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.
Can modifier 50 be used for this service?
No. The anatomy and service definition make bilateral adjustment inappropriate for this code.
How are additional procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%. The 0-day global period includes same-day preoperative and postoperative care.
What supports assistant-at-surgery payment?
The record must document medical necessity for the assistant. Co-surgeons and team surgery are not permitted for this code.
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.
12,11593459,,L hrt art/grft angio,A,,6.19,25.08,,25.08,NA,1.29,32.56,32.56,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,11693459,26,L hrt art/grft angio,A,,6.19,2.34,,2.34,,1.23,9.76,9.76,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,11793459,TC,L hrt art/grft angio,A,,0.00,22.74,,22.74,NA,0.06,22.80,22.80,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,11893460,,R&l hrt art/ventricle angio,A,,6.92,27.78,,27.78,NA,1.40,36.10,36.10,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,11993460,26,R&l hrt art/ventricle angio,A,,6.92,2.63,,2.63,,1.34,10.89,10.89,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,12093460,TC,R&l hrt art/ventricle angio,A,,0.00,25.15,,25.15,NA,0.06,25.21,25.21,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,12193461,,R&l hrt art/ventricle angio,A,,7.65,30.58,,30.58,NA,1.56,39.79,39.79,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817