CPT 93000 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 | • 11 - Office • 20 - Urgent Care Facility |
| Common Modifiers | • None • 59 - Distinct Procedural Service • XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93000 |
National average reimbursement for CPT 93000 by major payers:
$20.73
$24.02
$23.08
$27.64
| 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 93000 | ||||||
United | 93000 | $25.70 | 1013973916 - MITCHELL BARUCHIN | 452548322 - MEDICAL ASSOCIATES OF ENGLEWOOD PC | NJ | Cardiovascular Disease Physician (207RC0000X) |
United | 93000 | $30.05 | 1194285981 - DHRUV PATEL | 223310529 - COOPER HEALTH SYSTEMS | NJ | Internal Medicine Physician (207R00000X) |
United | 93000 | $42.04 | 1548492093 - REBEKKA LEVIS | 133956599 - (NY) BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP | NY | Pediatrics Physician (208000000X) |
United | 93000 | $20.89 | 1710051636 - PARTHA CHATTERJEE | 111631788 - (NY) JAMAICA HOSPITAL MEDICAL CENTER | NY | Pediatrics Physician (208000000X) |
United | 93000 | $12.09 | 1447646955 - DAPHNE MERCER | 112302216 - (NY) MAYER J. SAAD MD P.C. | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 93000 | $16.40 | 1487632089 - ROBIN ASCHKENASY | 133595755 - (NY) EZRAS CHOILIM HEALTH CENTER INC | NY | Pediatrics Physician (208000000X) |
United | 93000 | $16.02 | 1770225393 - W2W PHYSICIAN SERVICES | 821523978 - W2W PHYSICIAN SERVICES | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 93000 | $17.30 | 1417949421 - HIRENDRA DAVE | 134192597 - DAVE FAMILY MEDICAL SERVICES, PC | NY | Family Medicine Physician (207Q00000X) |
United | 93000 | $35.47 | 1538321997 - TANASHA SIMELA | 474539584 - (NY) WESTCHESTER HEALTH MEDICAL PC | NY | Dermatology Physician (207N00000X) |
United | 93000 | $11.67 | 1265972723 - HOANG HUA | 161576637 - FAXTON-ST LUKES HEALTHCARE | NY | Family Medicine Physician (207Q00000X) |
United | 93000 | $29.38 | 1013979798 - DEEPA MINHAS | 274980253 - PRIMARY CARE PARTNERS, LLC | NJ | Pediatrics Physician (208000000X) |
United | 93000 | $51.70 | 1225283278 - DIANE DITUSA | 223376459 - HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-SPECIALTY CARE PC | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 93000 | $20.00 | 1063428902 - ROBERT LEON | 223593419 - ROBERT J LEON M D P C | NJ | Cardiovascular Disease Physician (207RC0000X) |
United | 93000 | $15.59 | 1922425065 - ASHLEY PARKS | 131740114 - MONTEFIORE MEDICAL CENTER | NY | Pediatrics Physician (208000000X) |
United | 93000 | $44.34 | 1326001967 - SUSAN ABRAHAM | 453023019 - (NY) NORTH SHORE-LIJ MEDICAL PC | NY | Internal Medicine Physician (207R00000X) |
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 93000 vs. Other Cardiovascular Procedures Codes
The CPT 93000 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 93000 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 |
|---|---|---|
| 93000-CPT | Low | Ecg,Routine,Min.12 Lds;Interp/Reprt |
| 93005-CPT | Low | Electrocardiogram, Routine Ecg With At Least 12 Leads; Tracing Only, Without Interpretation And Report |
| 93010-CPT | Low | Ecg;Interpretation & Report Only |
| 93015-CPT | Low | Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And/Or Pharmacological Stress; With Supervision With Interpretation And Report (Revised 1/1/2013) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93000 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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