CPT 93587Cardiology

Vngrph chd vnvn cltrl at/abv

CPT 93587 covers imaging of veins (venography) during cardiac catheterization procedures in patients with congenital heart disease, specifically focusing on venous collateral vessels located at or above the level being examined.

Showing rates for

National Average

Base Medicare rate

$98.01

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

2.11

PE RVU (NF)

0.75

MP RVU

0.17

Total RVU

3.03

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

NCCI bundling edits

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Billing tips

Always bill 93587 as an add-on code with a primary catheterization procedure code (93530-93533, 93563-93568); never bill standalone
Impact: Prevents automatic denial; 93587 is an add-on code and will be rejected at 100% if billed without a primary procedure
Document the specific anatomic location and clinical indication for the venography, particularly noting congenital anomalies and why collateral mapping was medically necessary
Impact: Reduces denial risk by 60-70%; payers frequently audit congenital cardiac codes for medical necessity
Code separately for each distinct venous territory imaged; if bilateral or multiple collateral systems are studied, consider multiple units with modifier 59 if truly distinct
Impact: Can increase reimbursement by $98.01 per additional distinct territory when properly documented and justified
Ensure contrast injection and imaging of venous collaterals are specifically documented in the catheterization report with image storage; generic 'venography performed' statements are insufficient
Impact: Prevents post-payment audits and recoupment; specific documentation requirements protect the $98.01 payment
Verify that venography images are permanently stored and retrievable as part of the cardiac catheterization record per CMS guidelines
Impact: Critical for audit defense; lack of retrievable images can result in 100% recoupment plus penalties
When performed in facility setting, coordinate with hospital coding to ensure both professional (26) and technical (TC) components are billed to capture full allowed amount
Ensures complete reimbursement split between physician and facility without leaving money on the table

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Frequently asked questions

What is CPT code 93587 used for?

CPT 93587 is used to report venography of congenital heart disease venous collateral vessels at or above a specific anatomic level during cardiac catheterization. This imaging helps visualize abnormal venous pathways in patients with complex congenital heart defects, particularly before staged surgical procedures.

How much does Medicare pay for CPT 93587 in 2025?

The 2025 Medicare national average reimbursement for CPT 93587 is $98.01 for both facility and non-facility settings, based on 3.03 total RVUs and a conversion factor of 32.3465.

Can CPT 93587 be billed alone?

No, CPT 93587 is an add-on code and must be billed with a primary cardiac catheterization procedure code such as 93530-93533 or 93563-93568. Billing it alone will result in automatic denial.

What modifiers are commonly used with CPT 93587?

Common modifiers include 26 (professional component only), TC (technical component only), 59 or XU (distinct procedural service when performed at different anatomic sites), and 76 (repeat procedure by same physician during same session).

What documentation is required to bill CPT 93587?

Required documentation includes diagnosis of congenital heart disease, specific indication for venous collateral imaging, documentation of contrast injection into venous structures, identification of specific collateral vessels visualized, permanently stored images, and a clear link to the primary catheterization procedure.

What are the RVUs for CPT 93587 in 2025?

For 2025, CPT 93587 has a work RVU of 2.11, practice expense RVU of 0.75 (both facility and non-facility), malpractice RVU of 0.17, for a total of 3.03 RVUs.

Why do claims for CPT 93587 get denied?

Common denial reasons include billing without a primary catheterization code, insufficient documentation of medical necessity for congenital heart disease, lack of specific documentation of venous collateral imaging, bundling with primary procedure codes, and missing or non-retrievable archived images.