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 | Other Therapeutic Cardiovascular Services and Procedures Therapeutic Cardiovascular Services and 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 |
|---|---|---|---|---|---|---|
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 Therapeutic Cardiovascular Services and Procedures Codes
The CPT 92953 code is part of the Other Therapeutic Cardiovascular Services and Procedures services used for Therapeutic Cardiovascular Services and 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 | Prq Cardiac Angioplast 1 Art, Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (Accessed Through The Skin) Each Additional Artery Or Branch |
| 92941-CPT | Moderate | Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Acute Total/Subtotal Occlusion During Acute Myocardial Infarction Coronary Artery Or Coronary Artery Bypass Graft Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Aspiration Thrombectomy When Performed Single Vessel Major Coronary Artery And/Or Its Branches Or Single Bypass Graft And/Or Its Subtended Branches |
| 92950-CPT | Moderate | Administer Cpr, Emergency Cardiopulmonary Resuscitation (Cpr) Provided To Restart The Heartbeat And Breathing Following A Cardiac Arrest (Heart Stops Beating). |
| 92953-CPT | Low | Temporary Heart Pacer, A Temporary Pacemaker Is Placed On The Skin To Regulate The Heartbeat By Delivering Tiny Electric Shocks. |
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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