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See a sample rate comparisonCPT 93462 Fee Schedule
Last Verified: October 2026
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.
Access For Heart Catheter, A Heart Study Typically Requires Inserting A Thin Tube (Catheter) Into The Heart. This Procedure Inserts A Catheter Directly Into The Heart Through Its Dividing Wall (Septum) Or At The Top.
| 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 | GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $203.75 national non-facility rate (2026) · View Medicare rates for 93462 |
| Medicaid Fee Schedule | $159.79 median of the 8 states in the free preview · View Medicaid rates for 93462 |
National average reimbursement for CPT 93462 by major payers:
$303.12
$285.59
$293.90
$338.11
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CPT 93462
5 of 25 sample ratesHigher to lower in this preview
Fishermens Health Inc
$21,675.00Published rateDignity Community Care, Chandler Regional Medical Center
$3,546.00Published rateAscension St Francis Hospital, Inc, Ascension St Francis Hospital
Ascension St Francis Hospital Inc
$1,513.00Published rateVhs Acquisition Subsidiary Number 3 Inc, Louis A. Weiss Memorial Hospital
$750.00Published rateLockney General Hospital District, W.J. Mangold Memorial Hospital
$94.00Published rate
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See a sample payer proposalCPT 93462 vs. Other Cardiovascular Procedures Codes
The CPT 93462 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 93462 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 |
|---|---|---|
| 93461-CPT | High | R L Hrt Art Ventricle Angio, 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 Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts With Bypass Graft Angiography |
| 93462-CPT | Moderate | Access For Heart Catheter, A Heart Study Typically Requires Inserting A Thin Tube (Catheter) Into The Heart. This Procedure Inserts A Catheter Directly Into The Heart Through Its Dividing Wall (Septum) Or At The Top. |
| 93566-CPT | Low | Njx Car Cth Slctv Rv Ra Ang, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Right Ventricular Or Right Atrial Angiography List Separately In Addition To Code For Primary Procedure |
| 93596-CPT | High | Right And Left Heart Catheteri, Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S) Normal Native Connections |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93462. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93462 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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