CPT 93286 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 76 - Repeat procedure by same physician |
| Complexity Level | Low |
National average reimbursement for CPT 93286 by major payers:
$51.73
$44.68
$52.47
$73.03
| 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 93286 | ||||||
United | 93286 | $29.77 | 1174859284 - MATTHEW NIEDZWIECKI | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | RI | Psychiatry Physician (2084P0800X) |
United | 93286 | $32.79 | 1285715847 - SHANNON JENNINGS | 362604009 - (IL) OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER | CO | Psychiatry Physician (2084P0800X) |
United | 93286 | $31.47 | 1497080584 - ELIZABETH HOMAN | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IA | Psychiatry Physician (2084P0800X) |
United | 93286 | $24.69 | 1306340880 - GEORGE GIANAKAKOS | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Psychiatry Physician (2084P0800X) |
United | 93286 | $66.93 | 1639691090 - KELLY RHODES | 363167726 - (IL) RIVERSIDE HEALTH SYSTEM | IL | Psychiatry Physician (2084P0800X) |
United | 93286 | $47.13 | 1891993754 - PHILIP JANICAK | 581672987 - (IL) EDWARD HEALTH VENTURES | IL | Psychiatry Physician (2084P0800X) |
United | 93286 | $281.17 | 1760502058 - P. DANIEL LE GRANGE | 943281673 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93286 | $27.29 | 1609039163 - HUMA ABBAS | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93286 | $29.39 | 1679968697 - JEREMIAH BREWER | 910843135 | TX | Psychiatry Physician (2084P0800X) |
United | 93286 | $31.60 | 1891921367 - KAVITA THAKKAR | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | PA | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93286 | $31.60 | 1780976399 - ANNA JEONG | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93286 | $41.22 | 1649574336 - BLESSING HOSPITAL, BLESSING BEHAVIORAL CENTER | 370661183 - BLESSING HOSPITAL | IL | Psychiatry Physician (2084P0800X) |
United | 93286 | $21.12 | 1164410502 - ALAN FELTHOUS | 430654872 - ST LOUIS UNIVERSITY | IL | Psychiatry Physician (2084P0800X) |
United | 93286 | $77.12 | 1760412621 - RHONDA LAMPEN | 911352172 - MULTICARE HEALTH SYSTEM | CA | Psychiatry Physician (2084P0800X) |
United | 93286 | $33.20 | 1558354357 - MARIA FISFALEN | 363305449 - (IL) MOUNT SINAI COMMUNITY FOUNDATION | IL | Psychiatry Physician (2084P0800X) |
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 93286 vs. Other Cardiovascular Procedures Codes
The CPT 93286 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 93286 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 |
|---|---|---|
| 93286-CPT | Low | Peri-Procedural Device Evaluation (In Person) And Programming Of Device System Parameters Before Or After A Surgery Procedure Or Test With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System (Desc Rvsd 1/1/19) |
| 93287-CPT | Low | Peri-Procedural Device Evaluation (In Person) And Programming Of Device System Parameters Before Or After A Surgery Procedure Or Test With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Single Dual Or Multiple Lead Implantable Defibrillator System (Revised 01/01/15) |
| 93288-CPT | Low | Interrogation Device Evaluation (In Person) With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Includesconnection Recording And Disconnection Per Patient Encounter; Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System (Desc Rvsd 1/1/19) |
| 93289-CPT | Low | Interrogation Device Evaluation (In Person) With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Includesconnection Recording And Disconnection Per Patient Encounter; Single Dual Or Multiple Lead Transvenous Implantable Defibrillator System Including Analysis Of Heart Rhythm Derived Date Elements (Revised 01/01/15) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93286. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93286 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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