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See a sample rate comparisonCPT 93461 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 L Hrt Art Ventricle Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Right And Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography When Performed Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts With 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 | $1,329.02 national non-facility rate (2026) · View Medicare rates for 93461 |
| Medicaid Fee Schedule | $1,088.02 median of the 8 states in the free preview · View Medicaid rates for 93461 |
National average reimbursement for CPT 93461 by major payers:
$1,428.70
$1,938.67
$1,937.56
$2,267.22
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CPT 93461
5 of 25 sample ratesHigher to lower in this preview
Srishti Nangia
$3,645.91Published rateLauren Prest
$2,228.62Published ratePaul Berkowitz
Presence Healthcare Services
$1,332.89Published rateRhonda Lampen
Loyola University Medical Center
$878.10Published rateCamilla Grant
Town Center Orthopaedic Associates, P.C.
$388.79Published rate
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See a sample payer proposalCPT 93461 vs. Other Cardiovascular Procedures Codes
The CPT 93461 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 93461 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 |
|---|---|---|
| 93461-CPT | High | R L Hrt Art Ventricle Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Right And Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography When Performed Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts With Bypass Graft Angiography |
| 93462-CPT | Moderate | Access For Heart Catheter, A Heart Study Typically Requires Inserting A Thin Tube (Catheter) Into The Heart. This Procedure Inserts A Catheter Directly Into The Heart Through Its Dividing Wall (Septum) Or At The Top. |
| 93563-CPT | Low | Njx Cgen Car Cth Slctv C Ang, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Coronary Angiography During Congenital Heart Catheterization List Separately In Addition To Code For Primary Procedure |
| 93564-CPT | Low | Njx Cgen Car Cath Slctv Opac, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Opacification Of Aortocoronary Venous Or Arterial Bypass Graft S Eg Aortocoronary Saphenous Vein Free Radial Artery Or Free Mammary Artery Graft To One Or More Coronary Arteries And In Situ Arterial Conduits Eg Internal Mammary Whether Native Or Used For Bypass To One Or More Coronary Arteries During Congenital Heart Catheterization When Performed List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93461. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93461 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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