CPT 93272 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 • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93272 |
National average reimbursement for CPT 93272 by major payers:
$35.33
$34.11
$33.99
$40.43
| 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 93272 | ||||||
United | 93272 | $20.78 | 1912941345 - STEVEN KESSEL | 650320253 - (FL) PALM BEACH CARDIOLOGY CENTER INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $31.84 | 1093791287 - BRUCE LIPSKIND | 455367757 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $38.52 | 1043606742 - JENIFER LLOYD | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | IL | Psychiatry Physician (2084P0800X) |
United | 93272 | $34.99 | 1245658855 - IGOR SUNJIC | 592766165 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $50.81 | 1609039163 - HUMA ABBAS | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93272 | $34.99 | 1962461731 - A-HAMID HAKKI | 592766165 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $24.09 | 1285016956 - PAUL OLORUNFEMI | 464936919 - (AZ) CHAN HEART RHYTHM INSTITUTE | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $22.62 | 1649309139 - IAN DEL CONDE POZZI | 205155995 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $22.07 | 1306074372 - JOSHUA HORENSTEIN | 592385440 - (FL) DAYTONA HEART GROUP | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $19.52 | 1427011444 - KEITH MEYER | 650738875 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $41.75 | 1174796080 - ION BOTNARU | 911367068 - (WA) OLYMPIA MULTI-SPECIALTY CLINIC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $48.02 | 1679968697 - JEREMIAH BREWER | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | WI | Psychiatry Physician (2084P0800X) |
United | 93272 | $50.09 | 1730263617 - MARK ALTER | 910844563 | CA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93272 | $36.11 | 1326052374 - RICHARD PREWITT | 204366463 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93272 | $20.78 | 1699716472 - COLLEEN HEALY | 651102932 - (FL) LONGBOAT CARDIOLOGY PA | FL | Cardiovascular Disease Physician (207RC0000X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 93272 vs. Other Cardiovascular Procedures Codes
The CPT 93272 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 93272 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 |
|---|---|---|
| 93227-CPT | Low | External Electrocardiographic Recording Up To 48 Hours By Continuous Rhythm Recording And Storage; Review And Interpretation By A Physician Or Other Qualified Health Care Professional (Rvsd 1/1/13) |
| 93248-CPT | Low | External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Review And Interpretation |
| 93268-CPT | Moderate | External Patient And When Performed Auto Activated Electrocardiographic Rhythm Derived Event Recording With Symptom-Related Memory Loop With Remote Download Capability Up To 30 Days 24-Hour Attended Monitoring; Includes Transmission Review And Interpretation By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
| 93272-CPT | Low | External Patient And When Performed Auto Activated Electrocardiographic Rhythm Derived Event Recording With Symptom-Related Memory Loop With Remote Download Capability Up To 30 Days 24-Hour Attended Monitoring; Review And Interpretation By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93272. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93272 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 93272) and we'll show you how you compare in 15 minutes or less.