CPT 93290 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 |
National average reimbursement for CPT 93290 by major payers:
$60.82
$52.64
$59.53
$84.13
| 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 93290 | ||||||
United | 93290 | $33.33 | 1669430732 - CHAD BROOME-WEBSTER | 592898487 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $33.81 | 1578523056 - KENNETH FROMKIN | 650029298 - INDIAN RIVER HEALTH SERVICES INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $16.79 | 1487659421 - PETER CORRENTI | 232571699 - TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP F-K-A LANGHORNE PHYSICIAN SE | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $47.90 | 1710227954 - HETAIN PATEL | 592292041 - (FL) ST VINCENTS AMBULATORY CARE INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $20.48 | 1861684144 - DARLA HOBLE ERLICH | 812531495 - (FL) HOLY CROSS PRIMARY CARE INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $32.38 | 1467414383 - JOHN WALSH | 800639566 - (FL) WEST FLORIDA CARDIOLOGY NETWORK LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $21.86 | 1164485645 - SALAH DIN | 593673986 - (FL) ADVANCED CARDIOLOGY SPECIALISTS PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $25.22 | 1891020079 - RAMI HEART | 474547649 - (FL) ASHCHI HEART & VASCULAR CENTER | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $41.11 | 1215339817 - MID FLORIDA CARDIOVASCULAR CENTER, LLC | 471823381 - (FL) MID FLORIDA CARDIOVASCULAR CENTER LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $29.52 | 1639191802 - LOUIS SNYDER | 135562308 - NEW YORK UNIVERSITY | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $27.76 | 1396848354 - CHAKRAVARTHY RAGHAVAN | 205476847 - (FL) CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA, LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $54.13 | 1023003746 - CARLOS MARINELLI | 923479126 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $38.56 | 1578502399 - MICHAEL RAVITSKY | 562339101 - (FL) HERNANDO PASCO PRIMARY CARE, LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $23.37 | 1437150109 - AHMAD RASHID | 591923037 - (FL) CARDIOVASCULAR CONSULTANTS, P.A. | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93290 | $49.27 | 1265519052 - RAJENDRA HIPPALGAONKAR | 593149293 - SOUTHWEST VOLUSIA HEALTHCARE CORPORATION | 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 93290 vs. Other Cardiovascular Procedures Codes
The CPT 93290 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 93290 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) |
| 93290-CPT | Low | Interrogation Device Evaluation (In Person) With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Includes Connection Recording And Disconnection Per Patient Encounter; Implantable Cardiovascular Physiologic Monitor System Including Analysis Of 1 Or More Recorded Physiologic Cardiovascular Data Elements From All Internal And External Sensors (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 93290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93290 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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