93505

Endomyocardial biopsy

Add to my model
Code typePrimary
Payment statusActive (A)
Global period0-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary93505Endomyocardial biopsy
1
$648.65
$648.65
Add-on93569Njx cth slct p-art angrp uni
0
$37.07/ unit
$32.40/ unit
Add-on93573Njx cath slct p-art angrp bi
0
$61.12/ unit
$53.11/ unit
Add-on93574Njx cath slct pulm vn angrph
0
$67.14/ unit
$58.79/ unit
Add-on93575Njx cath slct p angrph mapca
0
$90.18/ unit
$78.49/ unit
Add-on93662Intracardiac ecg (ice)
0
$0.00/ unit
$0.00/ unit
Whole procedure · 4.02 wRVU credited
$648.65
$648.65
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
4.02
4.02
Practice expense
14.93
14.93
Malpractice
0.47
0.47
Total RVU
19.42
19.42

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Prof / tech split -26 / -TCSplit
Has professional (-26) and technical (-TC) components, each priced separately.
Not applicable to this code
Bilateral -50Co-surgeon -62Team surgeon -66