CPT 92953 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Cardiovascular Procedures |
| Common Place of Service | • 21 - Inpatient Hospital • 23 - Emergency Room |
| Common Modifiers | • None • 59 - Distinct Procedural Service • GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92953 |
National average reimbursement for CPT 92953 by major payers:
$6.42
$7.52
$4.75
$7.29
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 92953 | ||||||
United | 92953 | $1672.00 | 1457994188 - VHS HARLINGEN HOSPITAL COMPANY, LLC, VALLEY BAPTIST MICRO-HOSPITAL WESLACO | 452662980 | TX | General Acute Care Hospital (282N00000X) |
United | 92953 | $1356.00 | 1073587655 - STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | 430915730 - (MO) STE GENEVIEVE COUNTY MEMORIAL HOSPITAL | MO | Critical Access Hospital (282NC0060X) |
United | 92953 | $1562.00 | 1336470558 - NEBRASKA METHODIST HOSPITAL, METHODIST WOMEN'S HOSPITAL | 470376604 - NEBRASKA METHODIST HOSPITAL | NE | Women's Hospital (282NW0100X) |
United | 92953 | $2358.00 | 1073517058 - ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT, ROOSEVELT GENERAL HOSPITAL | 850458844 - (NM) ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT | NM | General Acute Care Hospital (282N00000X) |
United | 92953 | $4824.00 | 1801337506 - UNIVERSITY OF CHICAGO MEDICAL CENTER | 363488183 - UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 92953 | $792.00 | 1326022732 - VHS ACQUISITION SUBSIDIARY NUMBER 1 INC, ABRAZO SCOTTSDALE CAMPUS | 621861138 - (AZ) VHS ACQUISITION SUBSIDIARY NUMBER 1 INC | AZ | General Acute Care Hospital (282N00000X) |
United | 92953 | $2462.00 | 1861557753 - AURORA HEALTH CARE SOUTHERN LAKES, INC., AURORA MEDICAL CENTER BURLINGTON | 390806347 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 92953 | $1219.00 | 1104812684 - JOHNSTON MEMORIAL HOSPITAL, INC | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 92953 | $3051.00 | 1861486870 - ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY, RAHWAY HOSPITAL | 221487305 - (NJ) ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY | NJ | General Acute Care Hospital (282N00000X) |
United | 92953 | $1408.00 | 1700870672 - METHODIST MEDICAL CENTER | 620636239 - METHODIST MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 92953 | $934.00 | 1053453134 - ADVANCED SURGICAL CONCEPTS LLC | 331035210 - (LA) ADVANCED SURGICAL CONCEPTS LLC | LA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 92953 | $3147.00 | 1699748996 - ST MARYS HOSPITAL | 463499370 | NJ | General Acute Care Hospital (282N00000X) |
United | 92953 | $2727.00 | 1194762294 - HCA HEALTH SERVICES OF VIRGINIA INC, HENRICO DOCTORS' HOSPITAL | 621113733 | VA | General Acute Care Hospital (282N00000X) |
United | 92953 | $1905.00 | 1679627376 - SAINTS MARY AND ELIZABETH MEDICAL CENTER, SAINT ELIZABETH HOSPITAL | 992171028 | IL | General Acute Care Hospital (282N00000X) |
United | 92953 | $6071.00 | 1376709527 - IRMA ESPOSITO | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 92953 vs. Other Cardiovascular Procedures Codes
The CPT 92953 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92953 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92920-CPT | Moderate | Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (Accessed Through The Skin), |
| 92941-CPT | Moderate | Percutaneous Transluminal Revascularization Of Acute Total/Subtotal Occlusion During Acute Myocardial Infarction Coronary Artery Or Coronaryartery Bypass Graft Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Aspiration Thrombectomy When Performed Single Vessel |
| 92950-CPT | Moderate | Cardiopulmonary Resuscitation |
| 92953-CPT | Low | Temporary Transcutaneous Pacing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92953. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92953 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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