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See a sample rate comparisonCPT 93456 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.
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
| 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 | $1,093.55 national non-facility rate (2026) · View Medicare rates for 93456 |
| Medicaid Fee Schedule | $896.86 median of the 8 states in the free preview · View Medicaid rates for 93456 |
National average reimbursement for CPT 93456 by major payers:
$1,114.85
$1,523.69
$1,577.36
$1,816.15
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CPT 93456
5 of 25 sample ratesHigher to lower in this preview
Yu Zhang
Northwestern Memorial Healthcare
$2,933.63Published rateHuma Abbas
Advocate Health And Hospitals Corporation
$1,942.17Published rateCharles Hebert
$1,439.63Published rateMedeia Gartel
Mount Sinai Community Foundation
$895.84Published rateChristopher Raio
St Joseph Hospital
$454.29Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93456 vs. Other Cardiovascular Procedures Codes
The CPT 93456 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 93456 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 93456. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93456 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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