Billing code 93565: Cardiac angiographyMedicare rate & RVUs in Virginia
Selective left ventricular or left atrial angiography during cardiac catheterization is reported when catheter-directed contrast imaging assesses chamber anatomy or function.
Medicare pays $25.11–$28.79 for 93565 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. Which amount applies depends on the service address.
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 93565 covers
During cardiac catheterization, the cardiologist directs contrast into the left ventricle or left atrium and interprets the resulting angiographic images. The study may help evaluate chamber size, motion, or structural findings when that information is needed during the catheterization. It is typically performed in a hospital cardiac catheterization laboratory by the physician conducting the procedure.
Report 93565 only with an applicable primary cardiac catheterization procedure; it is not a stand-alone service. The record should identify the chamber selectively imaged, the contrast injection, and the clinical findings assessed. Distinguish this left-sided chamber study from injections for coronary arteries, bypass grafts, or right-sided chambers. CMS treats 93565 as an add-on, with payment within the primary procedure's global period.
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.
Where 93565 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | $28.79 | $25.25 |
| Virginia | $25.11 | $22.15 |
How the 93565 rate is calculated
Each of 93565’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 · 93565
RVUs × geographic indexes × conversion factor
Work0.49
0.49 RVUs× 1.000 GPCI
Practice expense0.18
0.18 RVUs× 1.000 GPCI
Malpractice0.12
0.12 RVUs× 1.000 GPCI
Adjusted RVUs
0.7900
Conversion factor
$33.4009
Medicare rate
$26.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93565
The CMS indicators that decide how 93565 is paid alongside other services.
CMS payment indicators · 93565
Cardiac angiography
| 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. |
93565 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93563Coronary angiography
- Use 93563 for selective coronary artery angiography. Use 93565 for selective angiography of the left ventricle or left atrium.
- 93566Chamber angiography
- 93566 covers selective angiography of right-sided chambers; 93565 covers left-sided chambers.
- 93564Graft angiography
- 93564 identifies contrast imaging of aortocoronary venous bypass grafts, rather than left ventricular or left atrial angiography.
93565 billing questions
Can 93565 be reported by itself?
No. It is an add-on for selective left ventricular or left atrial angiography performed during a primary cardiac catheterization procedure.
How does 93565 differ from 93563?
93565 describes selective imaging of the left ventricle or left atrium. 93563 is for selective coronary angiography.
How does 93565 differ from 93566?
93565 is for the left ventricle or left atrium; 93566 is for the right ventricle or right atrium.
What documentation supports reporting 93565?
Document which left-sided chamber was selectively injected, the contrast imaging performed, and the findings interpreted. The record should support a distinct chamber angiography service during the catheterization.
Is 93565 reported with a primary cardiac catheterization code?
Yes. Report it with the applicable primary catheterization procedure when the selective left ventricular or left atrial angiography is performed.
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
Show the CMS file lines behind this rate
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