93580

Active0-day global

Transcath closure of asd

2026 Medicare payment

Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number; add the add-on codes to price the whole procedure.

Locality

or ZIP

Show values as

Modifiers

Line	Qty	Non-facility (office)	Facility (hospital/ASC)
93580Transcath closure of asd	1	$844.04	$844.04
add-on93463Drug admin & hemodynmic meas	0	$95.86/ unit	$82.83/ unit
add-on93568Njx car cth nslc p-art angrp	0	$45.76/ unit	$40.42/ unit
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

Conversion factor: Locality: national average GPCIs

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCI_w + PE×GPCI_pe + MP×GPCI_mp) × CF

Row	Work RVU	PE RVU (office)	PE RVU (facility)	MP RVU	Total (office)
93580	17.52	3.69	3.69	4.06	25.27

Payment policy for 93580

CMS's indicator fields, translated. These control which modifiers are payable and how.

Professional/technical (PC/TC)

pctc=0

Physician service

Cannot be split into professional/technical components — modifiers 26 and TC don't apply.

Multiple procedures

mult_surg=2

Standard MPPR

When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.

Bilateral (modifier 50)

bilt_surg=0

150% rule doesn't apply

Bilateral adjustment does not apply (e.g., the code is unilateral by definition or physiology).

Assistant surgeon (80/81/82)

asst_surg=0

Payable with documentation

Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.

Co-surgeons (modifier 62)

co_surg=0

Not permitted

Co-surgeons (mod 62) may not be paid for this procedure.

Team surgery (modifier 66)

team_surg=0

Not permitted

Team surgery (mod 66) may not be paid for this procedure.

Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.