PFS ExplorerMedicare Physician Fee Schedule · 2026

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93581

Transcath closure of vsd

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Code typePrimary
Payment statusActive (A)
Global period0-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary93581Transcath closure of vsd
1
$1,145.65
$1,145.65
Add-on93462L hrt cath trnsptl puncture
0
$203.75/ unit
$177.02/ unit
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
Whole procedure · 23.78 wRVU credited
$1,145.65
$1,145.65
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
23.78
23.78
Practice expense
4.82
4.82
Malpractice
5.70
5.70
Total RVU
34.30
34.30

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.
Not applicable to this code
Bilateral -50Co-surgeon -62Team surgeon -66Prof / tech split