CPT 93459
Global 000 ActiveL hrt art/grft angio
CPT 93459 Billing & Documentation Guide
CPT code 93459 (L hrt art/grft angio) is classified under Cardiovascular with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.19, a non-facility practice expense RVU of 25.08, and a malpractice RVU of 1.29, a total non-facility RVU of 32.56 and facility RVU of 32.56. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1122.1, though rates vary from $948.52 to $1460.54 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93459, 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 93459 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 93459 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 93459
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.19 | 6.19 |
| Practice Expense RVU | 25.08 | 25.08 |
| Malpractice RVU | 1.29 | 1.29 |
| Total RVU | 32.56 | 32.56 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93459
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 | $1228.75 | $1228.75 | $1151.47 - $1460.54 | 29 |
| Florida | $1131.12 | $1131.12 | $1072.35 - $1187.76 | 3 |
| Georgia | $1057.78 | $1057.78 | $1005.34 - $1110.22 | 2 |
| Illinois | $1099.24 | $1099.24 | $1038.91 - $1148.97 | 4 |
| Michigan | $1053.99 | $1053.99 | $1020.21 - $1087.77 | 2 |
| North Carolina | $1015.85 | $1015.85 | $1015.85 - $1015.85 | 1 |
| New York | $1209.67 | $1209.67 | $1032.85 - $1296.02 | 5 |
| Ohio | $1015 | $1015 | $1015 - $1015 | 1 |
| Pennsylvania | $1075.2 | $1075.2 | $1016.47 - $1133.92 | 2 |
| Texas | $1072.62 | $1072.62 | $1009.08 - $1131.62 | 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 93459
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93459 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 93459
What does CPT code 93459 mean? +
CPT code 93459 represents: L hrt art/grft angio. It's in the Cardiovascular category with a global period of 000.
What is the Medicare reimbursement for CPT 93459? +
The 2026 Medicare national average non-facility payment for CPT 93459 is $1122.1. Rates range from $948.52 to $1460.54 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93459? +
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 93459? +
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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