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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $1,087.53 national non-facility rate (2026) · View Medicare rates for 93459 |
| Medicaid Fee Schedule | $890.065 median of the 8 states in the free preview · View Medicaid rates for 93459 |
National average reimbursement for CPT 93459 by major payers:

$1,148.41

$1,573.38

$1,601.33

$1,849.11
Choose a payer to see a sample of rates for CPT 93459.
Tallahassee Memorial Healthcare Inc
Tracy Binius
Fairview Health Services
Rhonda Lampen
Geoffrey Levin
Advocate Health And Hospitals Corporation
Ashley Boyle
Town Center Orthopaedic Associates, P.C.
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Rate Benchmarking
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See a sample payer proposalCPT 93459 vs. Other Cardiovascular Procedures Codes
The CPT 93459 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 93459 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 |
|---|---|---|
| 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 |
| 93455-CPT | High | Coronary Art Grft Angio S I, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts Including Intraprocedural Injection S For Bypass Graft Angiography |
| 93459-CPT | High | L Hrt Art Grft Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography When Performed Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts With Bypass Graft Angiography |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93459. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93459 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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