CPT 93018 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 | • 22 - On Campus Outpatient Hospital • 11 - Office • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • GC - Service performed by resident under supervision |
| Complexity Level | Low |
National average reimbursement for CPT 93018 by major payers:
$19.91
$22.78
$21.45
$23.80
| 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 93018 | ||||||
United | 93018 | $33.81 | 1346361169 - ALMOIS MOHAMAD | 640713033 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $20.28 | 1366496481 - MSMC ECG READERS ASSOCIATES PA | 582680752 - (FL) MSMC ECG READERS ASSOCIATES PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $21.06 | 1811959869 - JEFFREY STEINHOFF | 800639566 - (FL) WEST FLORIDA CARDIOLOGY NETWORK LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $13.47 | 1093896722 - DAVID STEINER | 263320373 - (FL) PINNACLE HEALTHCARE SYSTEM, LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $22.20 | 1790952778 - SHERIEF KHALIL | 593140335 - BAYCARE MEDICAL GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $23.87 | 1437251899 - CHARLES VILLOCH | 263557623 - (TN) WELLMONT CARDIOLOGY SERVICES | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $24.22 | 1982268959 - SIDRAH NAJAM | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93018 | $19.20 | 1659714806 - RAVI RAMASAMY | 911336707 - THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93018 | $30.13 | 1497080584 - ELIZABETH HOMAN | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IA | Psychiatry Physician (2084P0800X) |
United | 93018 | $22.20 | 1376505362 - TODD KOVACH | 593140335 - BAYCARE MEDICAL GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $15.47 | 1639163207 - JOSE SOLER | 201759480 - (FL) SOUTH FLORIDA SURGICAL SPECIALISTS, LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $17.90 | 1134127301 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 93018 | $17.27 | 1922003565 - KARAN BHATIA | 591867898 - (FL) BOND & STEELE CLINIC PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $27.57 | 1265519052 - RAJENDRA HIPPALGAONKAR | 593149293 - SOUTHWEST VOLUSIA HEALTHCARE CORPORATION | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93018 | $32.93 | 1386969079 - ADAM WALLACE | 362222696 - SWEDISHAMERICAN HOSPITAL | WI | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
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 93018 vs. Other Cardiovascular Procedures Codes
The CPT 93018 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 93018 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 |
|---|---|---|
| 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) |
| 93016-CPT | Low | Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And/Or Pharmacological Stress; Supervision Only Without Interpre- Tation And Report (Revised 1/1/2013) |
| 93017-CPT | Low | Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise, Continuous Electrocardiographic Monitoring, And/Or Pharmacological Stress; Tracing Only, Without Interpretation And Report |
| 93018-CPT | Low | Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise, Continuous Electrocardiographic Monitoring, And/Or Pharmacological Stress; Interpretation And Report Only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93018. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93018 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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