Find policies, billing codes, payers, states, and providers
CPT 93564: Coronary Angiography for Congenital Heart Disease
CPT code 93564 represents a diagnostic invasive coronary angiography specifically performed for patients with congenital heart disease. The procedure involves catheter insertion into native coronary arteries and any bypass grafts, contrast injection, supervised image acquisition, image interpretation, and a formal report. As a focused angiographic evaluation in complex congenital anatomy, this code is used in tertiary care and hospital-based cardiac catheterization laboratories and has implications for resource use, facility scheduling, and specialist billing.
Key payers in this national overview include Aetna, Blue Cross Blue Shield plans, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of clinical context and typical site of service, plus guidance on what to expect in comparative benchmarks and policy considerations. The publication outlines common billing modifiers and coding relationships where available, summarizes payer coverage patterns, and highlights clinical scenarios that commonly prompt use of this code, such as evaluation of coronary artery anatomy or bypass graft assessment in congenital heart disease.
This summary is intended for billing managers, clinicians, and policy analysts seeking a concise reference to CPT code 93564, its clinical use, and the payer landscape nationally. Data not available in the input is noted where applicable.
Customize your policy alerts
Sign up for cpt 93564 policy alerts
Get alerted when payer policies referencing 93564 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 93564 describes a diagnostic coronary angiography performed in a patient with congenital heart disease. In this procedure the provider passes a catheter into the coronary arteries, injects contrast dye, supervises and records image acquisition, interprets the images, and issues a report of findings. The procedure includes catheterization of native coronary arteries and any bypass grafts.
-
Service type: Diagnostic invasive coronary angiography for congenital heart disease
-
Typical site of service: Hospital cardiac catheterization laboratory or specialized cardiac catheterization suite