CPT 93285 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 |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93285 |
National average reimbursement for CPT 93285 by major payers:
$69.51
$65.22
$73.81
$98.72
| 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 93285 | ||||||
United | 93285 | $47.63 | 1932105558 - FLORIDA HEART GROUP | 593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $25.04 | 1659375608 - GEORGE ANDREAE | 275062262 - (FL) PREMIER CARDIOLOGY AND VASCULAR ASSOCIATES, LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $72.08 | 1891932331 - HARRIS BOYIADZIS | 592766165 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $27.33 | 1134384720 - BRADLEY BOYD | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopaedic Surgery Physician (207X00000X) |
United | 93285 | $82.26 | 1093776411 - NORMAN BENNETT | 590637874 - MARTIN MEMORIAL MEDICAL CENTER INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $67.80 | 1730189192 - BRENT VIDEAU | 264800380 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $48.45 | 1164460960 - STEPHEN PHLAUM | 590634434 - SACRED HEART HEALTH SYSTEM INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $31.21 | 1750383329 - PAUL VIGNOLA | 560529974 - CHARLES A CANNON JR MEMORIAL HOSPITAL INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $21.63 | 1972530996 - PATRICIA WRIGHT | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Occupational Therapist (225X00000X) |
United | 93285 | $146.94 | 1952310476 - RANDOLPH PANETTA | 61254082 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $60.59 | 1518937010 - SYED MAHMOOD | 223931775 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $48.04 | 1023314952 - CARLOS ZAMORA | 872050937 - (FL) OPTIMUM CV PLLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $56.15 | 1588150825 - COLLIN MESSERLY | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | MN | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 93285 | $25.70 | 1356344543 - JAMES ALLEE | 591917016 - TALLAHASSEE MEMORIAL HEALTHCARE INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93285 | $88.27 | 1285071357 - KRISTOPHER KLINE | 201983271 | 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 |
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CPT 93285 vs. Other Cardiovascular Procedures Codes
The CPT 93285 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 93285 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 |
|---|---|---|
| 93280-CPT | Low | Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Dual Lead Pacemaker System (Revised 01/01/13) |
| 93281-CPT | Low | Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Multiple Lead Pacemaker System (Revised 01/01/13) |
| 93282-CPT | Low | Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Single Lead Transvenous Implantable Defibrillator System (Revised 01/01/15) |
| 93285-CPT | Low | Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Subcutaneous Cardiac Rhythm Monitor System (Desc Rvsd 1/1/19) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93285. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93285 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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