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See a sample rate comparisonCPT 93152 Fee Schedule
Last Verified: October 2026
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.
Program Stimulation Device, Exam To Access Information From A Device And To Program A Stimulation To The Phrenic Nerve To Improve Breathing Function.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $145.63 national non-facility rate (2026) · View Medicare rates for 93152 |
| Medicaid Fee Schedule | $116.945 median of the 8 states in the free preview · View Medicaid rates for 93152 |
National average reimbursement for CPT 93152 by major payers:
$191.79
$217.74
$169.91
$169.68
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CPT 93152
5 of 25 sample ratesHigher to lower in this preview
Trinity Medical Center
$437.48Published rateSunila Oconnor
Pediatric Faculty Foundation In
$325.77Published rateNitin Patel
Southern Illinois Medical Services Nfp
$281.16Published rateOyoyo Sawyer
District Medical Group Inc
$179.36Published rateCamilla Grant
Town Center Orthopaedic Associates, P.C.
$89.73Published rate
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See a sample payer proposalCPT 93152 vs. Other Cardiovascular Procedures Codes
The CPT 93152 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 93152 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 |
|---|---|---|
| 93152-CPT | Low | Program Stimulation Device, Exam To Access Information From A Device And To Program A Stimulation To The Phrenic Nerve To Improve Breathing Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93152. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93152 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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