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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 93452 |
| Medicaid Fee Schedule | View Medicaid rates for 93452 |
National average reimbursement for CPT 93452 by major payers:

$890.53

$1,194.10

$1,194.61

$1,438.18
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The Methodist Hospital
Columbia Rio Grande Healthcare Lp
Methodist Hospital
Kell West Regional Hospital, LLC
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Rate Benchmarking
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See a sample payer proposalCPT 93452 vs. Other Cardiovascular Procedures Codes
The CPT 93452 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 93452 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 |
|---|---|---|
| 93451-CPT | Moderate | Heart Study Using Catheter, A Heart Study Performed By Inserting A Thin Tube (Catheter) Into The Heart. A Recorder May Measure Internal Pressure Oxygen Saturation Blood Volume And Rhythm. One Or Both Sides Of The Heart May Be Studied. |
| 93452-CPT | Moderate | Heart Study With Imaging, Heart Study Where A Thin Tube (Catheter) Is Inserted Into The Heart Through An Arm Or Leg Blood Vessel. Imaging With Contrast Dye May Be Part Of The Procedure. |
| 93453-CPT | High | R L Hrt Cath W Ventriclgrphy, Combined Right And Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography Imaging Supervision And Interpretation When Performed |
| 93454-CPT | Moderate | Catheter Placement In Coronary, Catheter Placement In Coronary Artery(S) For Coronary Angiography Including Intraprocedural Injection(S) For Coronary Angiography Imaging Supervision And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93452. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93452 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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