2025 CPT code 93457
(Active) Effective Date: N/A Revision Date: N/A Cardiac Catheterization - Cardiovascular Procedures Medicine Feed
Catheter placement in coronary arteries for coronary angiography, including injections for coronary and bypass graft angiography, imaging supervision, and interpretation; with right heart catheterization and bypass graft catheter placement.
Modifiers 26 (professional component) and TC (technical component) may be appended as appropriate, depending on the services rendered and the payer's guidelines.Modifier 51 may be used for multiple procedures when applicable.
Medical necessity is established when the patient presents with symptoms suggestive of coronary artery disease, such as chest pain or shortness of breath, or when there is a need for postoperative assessment of hemodynamics and coronary artery patency after cardiac surgery.
The clinical responsibility includes catheter insertion and manipulation, contrast injections, image acquisition and interpretation, and hemodynamic assessment.
- Medicine
- Cardiac Catheterization; Coronary Angiography with Bypass Graft and Right Heart Catheterization
In simple words: This code covers a heart procedure where doctors insert thin tubes into the heart's blood vessels to take pictures and check for blockages.It includes a check of the coronary arteries, bypass grafts, and the right side of the heart.
This CPT code encompasses catheter placement in coronary arteries for coronary angiography, along with intraprocedural injections for coronary and bypass graft angiography.It includes imaging supervision, interpretation, and reporting.Additionally, it includes right heart catheterization and catheter placement in bypass grafts (internal mammary, free arterial, venous grafts) with their respective angiographies.
Example 1: A patient presents with chest pain and suspected coronary artery disease.A right heart catheterization with coronary and bypass graft angiography is performed to assess hemodynamics and visualize coronary arteries and bypass grafts., A patient with a history of coronary artery bypass grafting (CABG) experiences recurrent angina.This procedure is performed to evaluate graft patency and identify any new or recurrent stenosis., A patient undergoes cardiac surgery and requires postoperative assessment of hemodynamics and coronary artery patency. This procedure is performed to evaluate the surgical outcome and identify any complications.
Detailed history and physical examination, including symptoms and risk factors.Pre-procedure consent form.All imaging reports and hemodynamic data.Operative report (if applicable).Post-procedure notes and follow-up plan.
** The description of 93457 and 93455 has been noted as identical in some sources. This discrepancy should be addressed by referencing updated CPT guidelines or contacting the AMA for clarification.Always ensure appropriate documentation supports the medical necessity and clinical appropriateness of the procedure.
- RVU: Work RVU: 6.89 (Note: This RVU value may vary depending on the specific payer and location.Always refer to the most up-to-date payer-specific fee schedules.)
- Global Days : The global period for this procedure is dependent on payer-specific guidelines and may vary.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) may be appended as necessary based on the services performed and payer guidelines.
- Fee Schedule : Refer to historical fee schedules from relevant payers for previous years' reimbursement rates.Note that these rates can vary greatly based on location, payer, and contract negotiations.
- Specialties:Cardiology, Cardiovascular Surgery
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient and Outpatient), Cardiac Catheterization Laboratory