CPT 93317 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 | 26 - Professional component None 76 - Repeat procedure by same physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 93317 |
| Medicaid Fee Schedule | View Medicaid rates for 93317 |
National average reimbursement for CPT 93317 by major payers:
$252.18
$358.32
$230.53
$374.44
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 93317 | $359.16 | 1013098631 - PAUL DOBRANSKY | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93317 | $605.00 | 1578957676 - LAURA VERNON | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | NY | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93317 | $637.02 | 1225211600 - JOHN MILLICHAP | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | NC | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93317 | $179.36 | 1710206545 - NEIL JARIWALA | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IN | Psychiatry Physician (2084P0800X) |
United | 93317 | $308.29 | 1376822486 - AMAL ASIRI | 475419443 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93317 | $450.82 | 1225058332 - SHERRIE LEVY | 371140016 - CARLE HEALTH CARE INCORPORATED | IL | Psychiatry Physician (2084P0800X) |
United | 93317 | $467.01 | 1760412621 - RHONDA LAMPEN | 811324691 | CA | Psychiatry Physician (2084P0800X) |
United | 93317 | $171.77 | 1760419311 - PETER HEYDEMANN | 911780160 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93317 | $575.15 | 1356723811 - VICTOR PATRON ROMERO | 911780160 | IL | Psychiatry Physician (2084P0800X) |
United | 93317 | $374.70 | 1144203753 - HAIDAR KABBANI | 911780160 | OH | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93317 | $277.86 | 1629021787 - KIMBALL LADIEN | 362743287 - TCA HEALTH INC NFP | IL | Psychiatry Physician (2084P0800X) |
United | 93317 | $408.92 | 1942330576 - NASIR SYED | 862358048 - (IL) INSIGHT CHICAGO INC | IL | Psychiatry Physician (2084P0800X) |
United | 93317 | $39.70 | 1366400376 - SUNRISE HOME HEALTH CARE INC. | 650307774 - (FL) SUNRISE HOME HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 93317 | $446.76 | 1811068554 - JAMES MACKENZIE | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93317 | $293.82 | 1295991701 - TRILOK SHAH | 391127163 - ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC | 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 93317 vs. Other Cardiovascular Procedures Codes
The CPT 93317 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 93317 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 |
|---|---|---|
| 93313-CPT | Low | Heart Ultrasound With Probe, A Heart Ultrasound (Echocardiograph) Taken By Inserting A Small Probe Down The Throat. A Heart Ultrasound Assesses The Size Shape And Function Of The Heart. |
| 93314-CPT | Moderate | Heart Ultrasound With Scope, A Heart Ultrasound (Echocardiography) Creates An Image Of The Heart Rhythm By Inserting A Scope Down The Throat. The Procedure Includes Physician Interpretation And A Report. |
| 93315-CPT | Moderate | Ultrasound For Heart Condition, A Transesophageal Heart Ultrasound (Echocardiograph) Takes Images Of The Heart By Inserting A Scope Down The Throat. The Procedure Checks For Heart Conditions That Have Been Present Since Birth. A Physician Report Is Included. |
| 93317-CPT | Moderate | Ultrasound For Heart Condition, A Transesophageal Heart Ultrasound (Echocardiograph) Takes Images Of The Heart By Inserting A Scope Down The Throat. The Procedure Checks For Heart Conditions That Have Been Present Since Birth. A Physician Report Is Included. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93317. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93317 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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