CPT 93452
Global 000 ActiveLeft hrt cath w/ventrclgrphy
CPT 93452 Billing & Documentation Guide
CPT code 93452 (Left hrt cath w/ventrclgrphy) is classified under Cardiovascular with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.39, a non-facility practice expense RVU of 20.94, and a malpractice RVU of 0.9, a total non-facility RVU of 26.23 and facility RVU of 26.23. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $905.29, though rates vary from $762.91 to $1187.43 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93452, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 93452 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 93452 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 93452
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.39 | 4.39 |
| Practice Expense RVU | 20.94 | 20.94 |
| Malpractice RVU | 0.9 | 0.9 |
| Total RVU | 26.23 | 26.23 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93452
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $995.79 | $995.79 | $931.79 - $1187.43 | 29 |
| Florida | $906.89 | $906.89 | $860.45 - $950.74 | 3 |
| Georgia | $850.06 | $850.06 | $806.34 - $893.78 | 2 |
| Illinois | $880.4 | $880.4 | $832.18 - $919.56 | 4 |
| Michigan | $845.69 | $845.69 | $819.13 - $872.25 | 2 |
| North Carolina | $818.39 | $818.39 | $818.39 - $818.39 | 1 |
| New York | $974.72 | $974.72 | $832.21 - $1043.44 | 5 |
| Ohio | $815.5 | $815.5 | $815.5 - $815.5 | 1 |
| Pennsylvania | $865.16 | $865.16 | $817.1 - $913.22 | 2 |
| Texas | $863.93 | $863.93 | $811.02 - $913.54 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 93452
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93452 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01920 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01925 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 01926 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0213T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0216T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0544T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0569T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0570T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 93452
What does CPT code 93452 mean? +
CPT code 93452 represents: Left hrt cath w/ventrclgrphy. It's in the Cardiovascular category with a global period of 000.
What is the Medicare reimbursement for CPT 93452? +
The 2026 Medicare national average non-facility payment for CPT 93452 is $905.29. Rates range from $762.91 to $1187.43 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93452? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 93452? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team