CPT 93313 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
National average reimbursement for CPT 93313 by major payers:
$35.48
$39.28
$32.91
$34.38
| 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 93313 | ||||||
United | 93313 | $19.04 | 1033347125 - DAVID HANRAHAN | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Psychiatry Physician (2084P0800X) |
United | 93313 | $103.88 | 1992904197 - JOANNA BLACKBURN | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93313 | $15.56 | 1275564197 - PAUL BERKOWITZ | 363330928 - (IL) PRESENCE HEALTHCARE SERVICES | IN | Psychiatry Physician (2084P0800X) |
United | 93313 | $21.98 | 1508986308 - COREY GOLDSTEIN | 911779996 - (IL) RUSH UNIVERSITY MEDICAL CENTER | IL | Psychiatry Physician (2084P0800X) |
United | 93313 | $15.25 | 1972063501 - PALOMA REINOSO | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | NY | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93313 | $23.11 | 1356608988 - TRIXIE LIPKE | 391157876 - BEAVER DAM COMMUNITY HOSPITALS INC | IL | Psychiatry Physician (2084P0800X) |
United | 93313 | $22.44 | 1952460933 - LARISSA CHISM BUGGS | 810231784 - BILLINGS CLINIC | IL | Psychiatry Physician (2084P0800X) |
United | 93313 | $22.96 | 1881918415 - TUSHAR ADVANI | 910844563 | MT | Psychiatry Physician (2084P0800X) |
United | 93313 | $20.70 | 1104993161 - BETH LEDVORA | 463010946 - (IL) BETH LEDVORA M.D., S.C. | IL | Psychiatry Physician (2084P0800X) |
United | 93313 | $41.40 | 1225211600 - JOHN MILLICHAP | 800863895 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93313 | $61.22 | 1144267865 - NITIN PATEL | 431592082 - SGOH ACQUISITION INC | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93313 | $19.44 | 1265883375 - JOCELYN LORENZO | 274026658 | LA | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93313 | $23.62 | 1720532773 - ADULT AND PEDIATRIC NEUROLOGY | 813062689 - (IL) ADULT AND PEDIATRIC NEUROLOGY | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93313 | $20.42 | 1205213261 - TAMAR CACERES | 911780160 | IL | Neurodevelopmental Disabilities Physician (2084P0005X) |
United | 93313 | $50.34 | 1508026972 - YANA OSKIN | 366006541 - (IL) VETERANS ASSISTANCE COMMISSION C | 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 93313 vs. Other Cardiovascular Procedures Codes
The CPT 93313 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 93313 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 |
|---|---|---|
| 93312-CPT | Moderate | Echocardiography, Transesophageal, Real-Time With Image Documentation (2d) (With Or Without M-Mode Recording); Including Probe Placement, Image Acquisition, Interpretation And Report |
| 93313-CPT | Low | Echocardiography, Transesophageal, Real-Time With Image Documentation (2d) (With Or Without M-Mode Recording); Placement Of Transesophageal Probe Only |
| 93314-CPT | Moderate | Echocardiography, Transesophageal, Real-Time With Image Documentation (2d) (With Or Without M-Mode Recording); Image Acquisition, Interpretation And Report Only |
| 93315-CPT | Moderate | Transesophageal Echocardiography For Congenital Cardiac Anomalies; Including Probe Placement, Image Acquisition, Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93313. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93313 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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