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See a sample rate comparisonCPT 93455 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Coronary Art Grft Angio S I, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts Including Intraprocedural Injection S For Bypass Graft Angiography
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $979.31 national non-facility rate (2026) · View Medicare rates for 93455 |
| Medicaid Fee Schedule | $802.535 median of the 8 states in the free preview · View Medicaid rates for 93455 |
National average reimbursement for CPT 93455 by major payers:
$1,031.84
$1,391.81
$1,412.25
$1,650.12
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CPT 93455
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$7,315.02Published rateHuma Abbas
Advocate Health And Hospitals Corporation
$1,513.09Published rateGirishkumar Dhorajia
Carle West Physician Group Inc
$1,261.27Published rateSanjay Nigam
Hshs Holy Family Hospital Inc
$571.70Published rateMarcus Byrd
New York City Health And Hospitals Corporation
$226.50Published rate
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See a sample payer proposalCPT 93455 vs. Other Cardiovascular Procedures Codes
The CPT 93455 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93455 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93454-CPT | Moderate | Catheter Placement In Coronary, Catheter Placement In Coronary Artery(S) For Coronary Angiography Including Intraprocedural Injection(S) For Coronary Angiography Imaging Supervision And Interpretation |
| 93455-CPT | High | Coronary Art Grft Angio S I, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts Including Intraprocedural Injection S For Bypass Graft Angiography |
| 93456-CPT | High | R Hrt Coronary Artery Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Right Heart Catheterization |
| 93458-CPT | High | L Hrt Artery Ventricle Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93455 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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