CPT 93146 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 | Implantable Cardiovascular Autonomic Nervous System Device Evaluation Implantable, Insertable, and Wearable Cardiac Device Evaluations |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 93146 |
National average reimbursement for CPT 93146 by major payers:
$N/A
$N/A
$N/A
$50.33
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
No data found No fee schedule data available for the selected payer and code combination | ||||||
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CPT 93146 vs. Other Implantable, Insertable, and Wearable Cardiac Device Evaluations Codes
The CPT 93146 code is part of the Implantable Cardiovascular Autonomic Nervous System Device Evaluation services used for Implantable, Insertable, and Wearable Cardiac Device Evaluations. 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 93146 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 |
|---|---|---|
| 93146-CPT | Moderate | Interrog Crtd Sins Bat Ip W/, Interrogation Device Evaluation (In Person) Carotid Sinus Baroreflex Activation Therapy (Bat) Modulation System Including Telemetric Iterative Communication With The Implantable Device To Monitor Device Diagnostics And Programmed Therapy Values With Interpretation And Report (Eg Battery Status Lead Impedance Pulse Amplitude Pulse Width Therapy Frequency Pathway Mode Burst Mode Therapy Start/Stop Times Each Day); With Programming Including Optimization Of Tolerated Therapeutic Level Setting |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93146. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93146 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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