CPT Code 93460
Right and left heart catheterization with coronary artery and ventricular angiography
2026 Medicare national rate
Office (non-facility)
$1205.77
Performed in a physician office
Facility
$1205.77
Hospital / ASC setting
Total RVUs (office)
36.10
36.10 facility
Conversion factor
$33.4009
2026 PFS
Medicare payment = total RVUs × GPCI (locality adjustment) × conversion factor. At the national level (GPCI = 1.0), 36.10 × 33.4009 = $1205.77 (office). Facility rates are lower because the facility separately bills its overhead.
Professional vs technical component
| Component | Office | Facility |
|---|---|---|
| Global (93460) | $1205.77 | $1205.77 |
| Professional (26) | $363.74 | $363.74 |
| Technical (TC) | $842.04 | $842.04 |
Bill modifier 26 for the interpretation only, TC for the equipment/technician only, or the bare code when you own both.
RVU breakdown
Work RVU
6.92
Office PE RVU
27.78
Facility PE RVU
27.78
Malpractice RVU
1.40
PC/TC: Diagnostic test with both a professional (modifier 26) and a technical (modifier TC) component.
Billing notes
- 93460 has a 0-day global period, so a separately identifiable E/M on the same day may be reported with modifier 25 when the documentation supports it.
- The national allowable is built from 36.10 total office RVUs × the $33.4009 conversion factor; multiply by your locality GPCIs (above) to reconcile a specific remittance.
Common ICD-10 diagnoses billed with 93460
Diagnoses frequently paired with 93460 on claims. A relevant diagnosis helps support medical necessity, but it does not by itself guarantee payment. Documentation, the service performed, and payer/CMS policy all apply. Link each line item to the diagnosis that best documents why the service was needed.
Billing & payment rules
- Multiple procedures
- Standard multiple-procedure reduction applies (100% / 50% / 50%…).
- Global period
- 0-day global period — no built-in postoperative period; a separately identifiable same-day E/M (modifier 25) may be billable.
2026 rate by locality
| Locality | Office | Facility |
|---|---|---|
| National (GPCI 1.0) | $1205.77 | $1205.77 |
| Manhattan, NY | $1398.28 | $1398.28 |
| Los Angeles, CA | $1369.34 | $1369.34 |
| Houston, TX | $1218.71 | $1218.71 |
| Chicago, IL | $1272.59 | $1272.59 |
| Miami, FL | $1315.31 | $1315.31 |
| Atlanta, GA | $1230.71 | $1230.71 |
Computed from CMS 2026 GPCIs: (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × $33.4009. Your MAC's locality may differ.
Related Medicine codes
Related guides
Medical billing disclaimer
Rates shown are 2026 Physician Fee Schedule amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.