CPT 93224 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 | Cardiovascular Monitoring Services Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93224 |
National average reimbursement for CPT 93224 by major payers:
$107.94
$134.19
$125.38
$144.64
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 93224 | $169.86 | 1235440058 - CAROLYN DOYLE | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | CA | Psychiatry Physician (2084P0800X) |
United | 93224 | $69.69 | 1114472867 - MARCUS BYRD | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93224 | $621.53 | 1871912683 - LAUREN SCHUMACHER | 943281673 | IL | Psychiatry Physician (2084P0800X) |
United | 93224 | $107.66 | 1053404350 - CARL ORRINGER | 331075317 - NCHMD INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93224 | $155.89 | 1508097452 - BALRAJ SINGH | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93224 | $166.96 | 1326465436 - MUSADDIQ TARIQ | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | MS | Psychiatry Physician (2084P0800X) |
United | 93224 | $100.55 | 1295938975 - LAN LUO | 262131291 - (FL) OCALA HEART CLINIC II LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93224 | $85.80 | 1033587365 - GABRIELLE PHAM-CHE | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopedic Physical Therapist (2251X0800X) |
United | 93224 | $96.05 | 1992987770 - HARIS TURALIC | 472619488 - (FL) TURALIC CONSULTING LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93224 | $157.63 | 1265883375 - JOCELYN LORENZO | 274026658 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93224 | $166.96 | 1881918415 - TUSHAR ADVANI | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Psychiatry Physician (2084P0800X) |
United | 93224 | $96.97 | 1770793440 - MARIELLA VELEZ-MARTINEZ | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93224 | $106.63 | 1225058357 - LOUIS ROSENFIELD | 61783116 - (FL) LAWNWOOD CARDIOVASCULAR SURGERY LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93224 | $162.69 | 1952569758 - CHARLES HEBERT | 911780160 | CO | Psychiatry Physician (2084P0800X) |
United | 93224 | $170.00 | 1730263617 - MARK ALTER | 811324691 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
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 93224 vs. Other Cardiovascular Procedures Codes
The CPT 93224 code is part of the Cardiovascular Monitoring Services 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 93224 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 | Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leads With Interpretation And Report Electrocardiogram Routine Ecg With At Least 12 Leads With |
| 93005-CPT | Low | Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leadstracing Only Without Interpretation And Report Electrocardiogram Routine Ecg With At Least 12leads |
| 93224-CPT | Low | Ecg Monit Reprt Up To 48 Hrs, External Electrocardiographic Recording Up To 48 Hours By Continuous Rhythm Recording And Storage Includes Recording Scanning Analysis With Report Review And Interpretation By A Physician Or Other Qualified Health Care Professional |
| 93225-CPT | Low | Wearable Electrocardiographic, Wearable Electrocardiographic Rhythm Derived Monitoring For 24 Hours By Continuous Original Waveformrecording And Storage With Visual Superimpositio N Scanning Recording (Includes Connection Record |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93224. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93224 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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