CPT 93453
Global 000 ActiveR&l hrt cath w/ventriclgrphy
CPT 93453 Billing & Documentation Guide
CPT code 93453 (R&l hrt cath w/ventriclgrphy) is classified under Cardiovascular with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.84, a non-facility practice expense RVU of 26.37, and a malpractice RVU of 1.17, a total non-facility RVU of 33.38 and facility RVU of 33.38. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1151.71, though rates vary from $971.78 to $1507.55 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93453, 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 93453 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 93453 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 93453
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.84 | 5.84 |
| Practice Expense RVU | 26.37 | 26.37 |
| Malpractice RVU | 1.17 | 1.17 |
| Total RVU | 33.38 | 33.38 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93453
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 | $1265.45 | $1265.45 | $1184.66 - $1507.55 | 29 |
| Florida | $1154.85 | $1154.85 | $1095.82 - $1210.79 | 3 |
| Georgia | $1082.38 | $1082.38 | $1027.3 - $1137.45 | 2 |
| Illinois | $1121.48 | $1121.48 | $1060.3 - $1171.3 | 4 |
| Michigan | $1077.12 | $1077.12 | $1043.34 - $1110.9 | 2 |
| North Carolina | $1041.8 | $1041.8 | $1041.8 - $1041.8 | 1 |
| New York | $1240.04 | $1240.04 | $1059.28 - $1327.36 | 5 |
| Ohio | $1038.61 | $1038.61 | $1038.61 - $1038.61 | 1 |
| Pennsylvania | $1101.32 | $1101.32 | $1040.55 - $1162.09 | 2 |
| Texas | $1099.57 | $1099.57 | $1032.88 - $1161.94 | 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 93453
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93453 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 93453
What does CPT code 93453 mean? +
CPT code 93453 represents: R&l hrt cath w/ventriclgrphy. It's in the Cardiovascular category with a global period of 000.
What is the Medicare reimbursement for CPT 93453? +
The 2026 Medicare national average non-facility payment for CPT 93453 is $1151.71. Rates range from $971.78 to $1507.55 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93453? +
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 93453? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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