CPT 93460 Fee Schedule
Healthcare 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 | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | High |
National average reimbursement for CPT 93460 by major payers:
$1,275.20
$1,714.51
$1,780.21
$2,080.51
| 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 93460 | ||||||
United | 93460 | $651.27 | 1235253899 - MICHAEL METZGER | 454448055 - (FL) SOUTH PALM CARDIOVASCULAR ASSOCIATES, LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $588.42 | 1992741128 - ANDREW BOYLE | 800639566 - (FL) WEST FLORIDA CARDIOLOGY NETWORK LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $847.19 | 1174511216 - ANTONIO BARQUET | 592579938 - (FL) UNIVERSITY OF MIAMI | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $742.65 | 1679537583 - MICHAEL CHIZNER | 830717366 - (FL) MICHAEL A CHIZNER MD PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $378.02 | 1902950298 - RAMANATH S RAO MD PA | 593361022 - (FL) RAMANATH S. RAO, MD, PA | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $2275.61 | 1144509860 - CRAIG MARTIN | 593214635 - FLORIDA HOSPITAL MEDICAL GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $1794.31 | 1114937075 - LESLIE MILLER | 593140335 - BAYCARE MEDICAL GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $1794.31 | 1477981348 - RAJIV SHARMA | 593140335 - BAYCARE MEDICAL GROUP INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $1189.30 | 1508979311 - SUNIL GUPTA | 592766165 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $502.95 | 1184787509 - DHIRAJ WARMAN | 264800380 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $1362.93 | 1447215785 - HEATHER JOHNSON | 264190328 - (FL) BOCACARE, INC. | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $1057.15 | 1215466271 - HOLLY GAINES | 272777455 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $454.67 | 1841236619 - TERRY WILSDORF | 631012832 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $427.48 | 1295854826 - SHAHBAAZ SHAIKH | 272777455 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93460 | $862.46 | 1215929682 - MICHAEL LEWIS | 201847488 - (FL) LEWIS, GOTLIEB, SALTZMAN AND EDEP, M.D. LLP | FL | Cardiovascular Disease Physician (207RC0000X) |
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 93460 vs. Other Cardiovascular Procedures Codes
The CPT 93460 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 93460 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 | Right Heart Catheterization Including Measurement(S) Of Oxygen Saturation And Cardiac Output, When Performed |
| 93453-CPT | High | Combined Right And Left Heart Catheterization Including Intraprocedural Injection(S) For Left Ventriculography, Imaging Supervision And Interpretation, When Performed |
| 93455-CPT | High | 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 Graft(S) Including Intraprocedural Injection(S) For Bypass Graft Angiography |
| 93460-CPT | High | Catheter Placement In Coronary Artery(S) For Coronary Angiography Including Intraprocedural Injection(S) For Coronary Angiography Imaging Supervision And Interpretation; With Right And Left Heart Catheterization Including Intraprocedural Injection(S) For Left Ventriculography When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93460. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93460 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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