Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed

CPT 93455 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; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed". For cardiac catheterization with coronary angiography and left ventriculography

Medicare pays approximately $933.20 for CPT 93455 (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 93455 has a total RVU of 26.75, broken down as: Work RVU 10.50, Practice Expense RVU 15.20, and Malpractice RVU 1.05. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93455 include: Indication for cardiac catheterization; Coronary anatomy findings; Left ventricular function assessment; Left ventriculography findings. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93455: Includes coronary angiography. Includes left ventriculography Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93455 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 93455 is 45-75 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.