CPT 93356 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 • 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 |
National average reimbursement for CPT 93356 by major payers:
$49.52
$52.49
$53.09
$71.90
| 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 93356 | ||||||
United | 93356 | $45.72 | 1376603118 - ERENIO MEJIAS | 1376603118 - (NJ) ERENIO MEJIAS | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $75.08 | 1548391832 - KAVITA BERI | 223624559 - (NJ) RIVERSIDE MEDICAL GROUP | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $172.61 | 1952891186 - ANNE DUCKLES | 42697983 - MASS GENERAL BRIGHAM INCORPORATED | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $40.04 | 1194738195 - JANE HOSKIN | 223632949 - (NJ) PARK AVENUE MEDICAL ASSOCIATES PA | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $100.43 | 1710226568 - NISHA KUMAR | 853737205 | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $54.77 | 1336399963 - SHEEMA JALIL | 221487330 - (NJ) SAINT PETERS UNIVERSITY HOSPITAL | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $97.70 | 1639124399 - STANLEY ZIMMERMAN | 853737205 | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $55.43 | 1386670206 - JOSEPH FLEISCHER | 452548322 - MEDICAL ASSOCIATES OF ENGLEWOOD PC | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $48.06 | 1528203676 - SAIRA AHMAD | 743104423 - (NJ) BAYONNE MEDICAL CARE LLC | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $112.70 | 1992122147 - NATALIA BARAN | 135562308 - NEW YORK UNIVERSITY | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $39.08 | 1225138910 - DOUGLAS HANES | 222763588 - COMMUNITY HEALTH CARE INC | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $36.84 | 1467421339 - ELSAID BALBOUL | 300262572 - (NJ) ELSAID BALBOUL MD PA | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $89.02 | 1265425342 - MICHELLE CAJULIS | 223487984 - SUMMIT MEDICAL GROUP, P.A. | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $48.06 | 1700991247 - SALEEM MAHMOOD | 223677144 - (NJ) SALEEM MAHMOOD, M.D., P.C. | NJ | Internal Medicine Physician (207R00000X) |
United | 93356 | $55.29 | 1538233358 - SYEDA FAROOQUI | 223433831 - (NY) DAMIAN FAMILY CARE CENTERS INC | NJ | Internal Medicine Physician (207R00000X) |
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 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 Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography Or Duringtransthoracic Echocardiography For Congenital Car-Diac Nomalies For The Assessment Of Cardiac Structure(S) (Eg Cardiac Chambers And Valves Left Atrial Appendage Interatrial Septum Inter- Ventricular Septum) And Function When Performed (List Separately In Addition To Code For Echo- Ardiographic Imaging) |
| 93320-CPT | Low | Doppler Echocardiography, Pulsed Wave And/Or Continuous Wave With Spectral Display (List Separately In Addition To Codes For Echocardiographic Imaging); Complete |
| 93321-CPT | Low | 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 Using Speckle Tracking-Derived Assessment Of Myocardial Mechanics (List Separately In Addition To Codes For Echocardiography Imaging) |
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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