Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation

CPT 93454 is the billing code for "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation". For cardiac catheterization with coronary angiography

Medicare pays approximately $835.83 for CPT 93454 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 93454 has a total RVU of 21.85, broken down as: Work RVU 8.50, Practice Expense RVU 12.50, and Malpractice RVU 0.85. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93454 include: Indication for cardiac catheterization; Coronary anatomy findings; Presence and severity of coronary artery disease; Hemodynamic measurements. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93454: Includes coronary angiography. Includes imaging supervision and interpretation Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93454 include: 26 (Professional component only (interpretation)), TC (Technical component only (equipment/staff)), 59 (Distinct procedural service if performed separately). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 93454 is 30-60 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.