No office rate
Choose 93588 when the venovenous collateral is below the diaphragm; choose 93587 when it is at or above the diaphragm.
On this page
CMS RVU26D · Effective 2026-10-01
93588 Congenital venography Medicare reimbursement rates in Wyoming
Reports contrast venography of venovenous collateral vessels below the diaphragm during congenital heart catheterization. Compare 93588 office and facility rates across CMS payment localities in Wyoming.
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 93588 in Wyoming?
Wyoming 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
No supported rate
Facility setting
$85.87
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
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 93588: Congenital heart venovenous collateral venography
Reports contrast venography of venovenous collateral vessels below the diaphragm during congenital heart catheterization.
This add-on captures contrast venography used during congenital cardiac catheterization to map venovenous collateral vessels located below the diaphragm. A congenital interventional cardiologist or other cardiac catheterization physician performs the injection and imaging in a catheterization laboratory. The target is the collateral venous channel below the diaphragm, rather than a collateral at or above it.
Report 93588 only with an eligible primary congenital heart catheterization service; it is not a stand-alone venography claim. Documentation should identify the below-diaphragm collateral being assessed and support that contrast venography was performed, including the injection and resulting images or interpretation. CMS classifies 93588 as an add-on, with payment made within the primary procedure’s global period. Select this code by the collateral’s anatomic level; use the corresponding code for venovenous collateral imaging at or above the diaphragm when that is the imaged site.
CMS billing rules for 93588
- 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 RVU2.08 · 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.
93588 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
93584 addresses venography for an anomalous or persistent superior vena cava, not below-diaphragm venovenous collaterals.
93593
No office rateR hrt cath chd nml nt cnj
93593 reports a primary congenital right heart catheterization for normal connections; 93588 is an add-on for below-diaphragm collateral venography.
Compare 93588 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$85.87
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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 93588 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
12,157
- Code
- 93588
- Physician work
- 2.08
- Practice expense
- 0.38
- Malpractice
- 0.15
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.08 | × 1.000 | 2.0800 |
| Practice expense | 0.38 | × 1.000 | 0.3800 |
| Malpractice | 0.15 | × 0.740 | 0.1110 |
| Total RVUs | 2.5710 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$85.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.08 | 1 |
| Practice expense | 0.38 | 1 |
| Malpractice | 0.15 | 0.74 |
(2.08 × 1 + 0.38 × 1 + 0.15 × 0.74) × $33.4009 = $85.87
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.
93588 billing questions
How does 93588 differ from 93587?
93588 is for venovenous collaterals below the diaphragm. 93587 describes collateral venography at or above the diaphragm.
Can 93588 be billed by itself?
No. It is an add-on code and must be reported with an eligible primary congenital heart catheterization service.
What should the documentation identify?
Document the collateral’s location below the diaphragm and the contrast injection and imaging performed to assess it.
Does 93588 replace the congenital heart catheterization code?
No. Report the applicable congenital heart catheterization as the primary service and 93588 for the additional below-diaphragm venography.
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.
12,15493585,,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
12,16093592,,Perq transcath closure each,A,,7.80,1.45,NA,1.45,,0.54,9.79,9.79,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,