CPT 93458
Global 000 ActiveL hrt artery/ventricle angio
CPT 93458 Billing & Documentation Guide
CPT code 93458 (L hrt artery/ventricle angio) is classified under Cardiovascular with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.46, a non-facility practice expense RVU of 23.65, and a malpractice RVU of 1.13, a total non-facility RVU of 30.24 and facility RVU of 30.24. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1042.8, though rates vary from $880.36 to $1361.74 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93458, 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 93458 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 93458 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 93458
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.46 | 5.46 |
| Practice Expense RVU | 23.65 | 23.65 |
| Malpractice RVU | 1.13 | 1.13 |
| Total RVU | 30.24 | 30.24 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93458
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 | $1144.08 | $1144.08 | $1071.46 - $1361.74 | 29 |
| Florida | $1048.41 | $1048.41 | $994.27 - $1100.14 | 3 |
| Georgia | $981.4 | $981.4 | $931.98 - $1030.82 | 2 |
| Illinois | $1018.41 | $1018.41 | $962.57 - $1064.15 | 4 |
| Michigan | $977.24 | $977.24 | $946.19 - $1008.29 | 2 |
| North Carolina | $943.49 | $943.49 | $943.49 - $943.49 | 1 |
| New York | $1123.58 | $1123.58 | $959.34 - $1203.36 | 5 |
| Ohio | $941.62 | $941.62 | $941.62 - $941.62 | 1 |
| Pennsylvania | $998.1 | $998.1 | $943.19 - $1053 | 2 |
| Texas | $996.12 | $996.12 | $936.27 - $1051.92 | 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 93458
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93458 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 93458
What does CPT code 93458 mean? +
CPT code 93458 represents: L hrt artery/ventricle angio. It's in the Cardiovascular category with a global period of 000.
What is the Medicare reimbursement for CPT 93458? +
The 2026 Medicare national average non-facility payment for CPT 93458 is $1042.8. Rates range from $880.36 to $1361.74 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93458? +
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 93458? +
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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