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93567 Njx car cth sprvlv aortgrphy

What 93567 is

CMS fee schedule short descriptor: Njx car cth sprvlv aortgrphy.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 93567 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)0.680.260.161.10$36.74
Facility (hospital, ASC)0.680.130.160.97$32.40

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.

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Medically Unlikely Edit (MUE)

Medicare caps 93567 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 93567? These codes are bundled into it

93567 is a Column 1 code in 121 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
01920Anes cardiac catheterization0 - no modifier bypassCheck pair
01924Anes ther ivntl rad artl nos0 - no modifier bypassCheck pair
01925Anes ivntl rad artl crtd/c0 - no modifier bypassCheck pair
01926Anes ivntl rad icr icar/aort0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0632TPerq tcat us abltj nrv p-art1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
35201Repair blood vessel dir neck1 - modifier may bypassCheck pair
35206Repair blood vessel dir uxtr1 - modifier may bypassCheck pair
35226Repair blood vessel dir lxtr1 - modifier may bypassCheck pair
35231Repair blvsl vn grf neck1 - modifier may bypassCheck pair
35236Repair blvsl vn grf uxtr1 - modifier may bypassCheck pair
35256Repair blvsl vn grf lxtr1 - modifier may bypassCheck pair
35261Rpr blvsl grf oth/thn vn nck1 - modifier may bypassCheck pair
35266Rpr blvsl grf oth/th vn uxtr1 - modifier may bypassCheck pair
35286Rpr blvsl grf oth/th vn lxtr1 - modifier may bypassCheck pair
36000Place needle in vein1 - modifier may bypassCheck pair
36005Injection ext venography1 - modifier may bypassCheck pair
36400Vnpnxr<3yrs phy/qhp fem/jug1 - modifier may bypassCheck pair
36405Vnpnxr<3yrs phy/qhp scalp vn1 - modifier may bypassCheck pair
36406Vnpnxr<3yrs phy/qhp other vn1 - modifier may bypassCheck pair
36410Vnpnxr 3yr/> phy/qhp dx/ther1 - modifier may bypassCheck pair
36420Venipuncture cutdown < 1 yr1 - modifier may bypassCheck pair
36425Venipuncture cutdown 1 yr/>1 - modifier may bypassCheck pair
36430Transfusion bld/bld compnt1 - modifier may bypassCheck pair
36440Bld push tfuj 2 yr/<1 - modifier may bypassCheck pair

Showing 30 of 121 column 2 codes. Use the pair checker for any specific combination.

93567 is bundled into these codes

93567 appears as a Column 2 code in 64 active edits. Reported with one of these Column 1 codes on the same date of service, 93567 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0345TTranscath mtral vlve repair1Check pair
0483TTmvi percutaneous approach1Check pair
0484TTmvi transthoracic exposure1Check pair
0544TTcat mv annulus rcnstj1Check pair
0577TEphys eval icds ss1Check pair
0643TTcat l ventr rstrj dev implt1Check pair
0644TTcat rmvl/dblk icar mas perq1Check pair
0645TTcat impltj c sins rdctj dev1Check pair
0695TBdy srf mpg pm/cvdfb tm impl1Check pair
0696TBdy surf mapg pm/cvdfb f/up1Check pair
33361Replace aortic valve perq1Check pair
33362Replace aortic valve open1Check pair
33363Replace aortic valve open1Check pair
33364Replace aortic valve open1Check pair
33365Replace aortic valve open1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.