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CPT Code 93458: 2026 Billing, Modifiers, Documentation and Denial Prevention

CPT 93458 left heart catheterization billing 2026 hero banner: coronary angiography plus left heart cath in one code, left ventriculography included when performed but not required, the 11-code 93451-93461 family selection grid, same-day PCI bundling with modifier 59 and the six-month prior-study rule, and 2026 dual Medicare conversion factors, from One O Seven RCM.

The 93458 CPT code description covers diagnostic coronary angiography performed with a left heart catheterization during the same session. The code also covers imaging supervision and interpretation. Left ventriculography counts as included when performed, though nothing in the code requires an LV gram on every case. Right heart catheterization falls outside the CPT 93458 scope […]

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