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See a sample rate comparisonHealthcare 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 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93356 |
| Medicaid Fee Schedule | View Medicaid rates for 93356 |
National average reimbursement for CPT 93356 by major payers:

$49.52

$52.49

$53.09

$32.53
Choose a payer to see a sample of rates for CPT 93356.
Mass General Brigham Incorporated
Mvp Medical Associates PA
Saint Peters University Hospital
Park Avenue Medical Associates PA
Old Hook Hospitalists LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 93356 vs. Other Cardiovascular Procedures Codes
The CPT 93356 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 93356 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 |
|---|---|---|
| 93319-CPT | Low | 3d Echo Img Cgen Car Anomal, 3d Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography Or During Transthoracic Echocardiography For Congenital Cardiac Anomalies For The Assessment Of Cardiac Structure S Eg Cardiac Chambers And Valves Left Atrial Appendage Interatrial Septum Interventricular Septum And Function When Performed List Separately In Addition To Code For Echocardiographic Imaging |
| 93320-CPT | Low | Doppler Echocardiography Puls, Doppler Echocardiography Pulsed Wave Andor Continuous Wavewith Spectral Display (List Separately In Addition To Codes For Echocardiographic Imaging) Complete |
| 93321-CPT | Low | Doppler Echo F-Up/Lmtd Std, Doppler Echocardiography Pulsed Wave And/Or Continuous Wave With Spectral Display (List Separately In Addition To Codes For Echocardiographic Imaging); Follow-Up Or Limited Study (List Separately In Addition To Codes For Echocardiographic Imaging) |
| 93356-CPT | Low | Myocardial Strain Imaging Usin, Myocardial Strain Imaging Using Speckle Tracking-Derived Assessment Of Myocardial Mechanics (List Separately In Addition To Codes For Echocardiographyimaging) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93356. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93356 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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