CPT 93568Cardiology

Njx car cth nslc p-art angrp

CPT 93568 covers the injection of contrast dye during cardiac catheterization specifically for non-selective pulmonary artery angiography, which creates X-ray images of the blood vessels in the lungs. This is an add-on procedure performed during a cardiac catheterization to visualize the pulmonary arteries without selectively positioning the catheter in specific branches.

Showing rates for

National Average

Base Medicare rate

$44.31

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

0.88

PE RVU (NF)

0.31

MP RVU

0.18

Total RVU

1.37

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

Loading bundling edits…

Billing tips

Always bill 93568 as an add-on code with a primary cardiac catheterization procedure (such as 93451-93464 or 93530-93533)
Impact: Billing as standalone will result in automatic denial; must have appropriate base procedure for $44.31 reimbursement
Document non-selective positioning clearly in the operative report, specifying catheter location in main pulmonary artery or RV outflow tract
Impact: Prevents downcoding or denial; ambiguous documentation may lead to bundling with base catheterization with 100% payment loss
Do not bill 93568 with selective pulmonary angiography codes (93569-93573) for the same pulmonary tree during the same session
Impact: Creates unbundling issues and potential overpayment recovery; selective codes include non-selective work
Verify that imaging and interpretation are documented separately from the catheter placement to support both technical and professional components
Impact: Incomplete documentation may result in 50% payment reduction if only one component is reimbursed
Check payer-specific policies for pulmonary angiography bundling rules, as some commercial payers include this in the base catheterization RVU
Impact: Can prevent denials requiring appeals; some payers may not reimburse the $44.31 separately despite Medicare allowing it
Ensure injection volume, pressure, and fluoroscopy time are documented to demonstrate the distinct nature of the angiographic procedure
Impact: Supports medical necessity on audit; strengthens appeals when questioned, protecting the 1.37 RVU value

Live Field Datano reports yet

Real billers contribute denial patterns and appeal strategies for this code. Once 5+ reports come in, you’ll see live aggregated data here — the only place this exists, free.

Working with CPT 93568?

Get the free Revenue Protection Toolkit — the denial triggers, modifier pitfalls, and bundling conflicts that quietly cost you reimbursement. Instant download.

Help build the field knowledge

MedPayIQ gets smarter as billers contribute. If you've had this code denied, share what happened so others learn from it. Anonymous, no patient info.

Related actions

Frequently asked questions

What is the Medicare reimbursement rate for CPT code 93568 in 2025?

The 2025 Medicare national average reimbursement rate for CPT 93568 is $44.31 for both facility and non-facility settings, based on 1.37 total RVUs and a conversion factor of 32.3465.

Can CPT 93568 be billed alone or does it require another procedure code?

CPT 93568 is an add-on code and cannot be billed alone. It must be reported with a primary cardiac catheterization procedure such as codes 93451-93464, 93530-93533, or 93563-93566 to receive reimbursement.

What is the difference between CPT 93568 and 93569 for pulmonary angiography?

CPT 93568 describes non-selective pulmonary artery angiography where contrast is injected into the main pulmonary artery without selective catheter positioning. CPT 93569 describes selective pulmonary angiography with catheter placement in specific pulmonary artery branches, which includes the non-selective work and should not be billed together.

How many RVUs is CPT code 93568 worth in 2025?

CPT 93568 has 1.37 total RVUs in 2025, consisting of 0.88 work RVUs, 0.31 practice expense RVUs (both facility and non-facility), and 0.18 malpractice RVUs.

What documentation is required to bill CPT 93568?

Required documentation includes specific notation of catheter position in the main pulmonary artery or right ventricular outflow tract, contrast type and volume injected, angiographic views obtained, interpretation of findings, and clear indication that this was a non-selective injection separate from any selective branch catheterization.

Can CPT 93568 be billed bilaterally with RT and LT modifiers?

No, CPT 93568 represents non-selective pulmonary artery angiography of the main pulmonary artery, which is a midline structure. Laterality modifiers are not applicable and should not be used with this code. Selective branch injections would use different codes (93569-93573).

What are common reasons for denial of CPT 93568 claims?

Common denial reasons include billing without an appropriate base cardiac catheterization code, bundling with selective pulmonary angiography codes, insufficient documentation of the non-selective injection technique, and payer policies that consider the injection included in the base catheterization procedure.