CPT 93462 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • GC - Service performed by resident under supervision • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 93462 by major payers:
$303.12
$285.59
$293.90
$340.98
| 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 93462 | ||||||
United | 93462 | $1497.00 | 1396792032 - RIVER OAKS HOSPITAL LLC, MERIT HEALTH RIVER OAKS | 640626874 - (MS) RIVER OAKS HOSPITAL LLC | MS | General Acute Care Hospital (282N00000X) |
United | 93462 | $26512.00 | 1437713856 - HCA-HEALTHONE LLC, CENTENNIAL HOSPITAL | 841321373 | CO | General Acute Care Hospital (282N00000X) |
United | 93462 | $1641.00 | 1861666240 - AURORA LAKELAND MEDICAL CENTER | 390806347 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 93462 | $1534.00 | 1053844761 - STEWARD TRUMBULL MEMORIAL HOSPITAL, INC. | 815457243 | OH | General Acute Care Hospital (282N00000X) |
United | 93462 | $741.00 | 1558365890 - METHODIST HEALTHCARE | 620479367 - METHODIST HEALTHCARE-MEMPHIS | TN | General Acute Care Hospital (282N00000X) |
United | 93462 | $359.30 | 1760429831 - BRUCE MADSEN | 930590581 - EYECARE ASSOCIATES PC | OR | Ophthalmology Physician (207W00000X) |
United | 93462 | $14115.00 | 1386647717 - MSH PARTNERS, LLC, BAYLOR SCOTT & WHITE MEDICAL CENTER - UPTOWN | 752829613 | TX | General Acute Care Hospital (282N00000X) |
United | 93462 | $3828.00 | 1104981661 - DIGNITY HEALTH, MERCY HOSPITAL | 870692237 - (CA) DIGNITY HEALTH | CA | General Acute Care Hospital (282N00000X) |
United | 93462 | $5607.00 | 1427616002 - NYU LANGONE HOSPITALS, NYU LANGONE HOSPITAL LONG ISLAND | 133971298 - NYU LANGONE HOSPITALS | NY | General Acute Care Hospital (282N00000X) |
United | 93462 | $1741.00 | 1427618305 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 93462 | $183.00 | 1831330075 - JOHNSTON MEMORIAL HOSPITAL | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 93462 | $1177.00 | 1114339918 - COMMUNITY MEMORIAL HEALTH SYSTEM, OJAI VALLEY COMMUNITY HOSPITAL | 951683892 - COMMUNITY MEMORIAL HEALTH SYSTEM | CA | Rural Acute Care Hospital (282NR1301X) |
United | 93462 | $1514.00 | 1831970532 - VHS SAN ANTONIO PARTNERS, LLC | 760714523 | TX | General Acute Care Hospital (282N00000X) |
United | 93462 | $18314.00 | 1548387418 - THE METHODIST HOSPITAL, HOUSTON METHODIST HOSPITAL | 741180155 - (TX) THE METHODIST HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 93462 | $157.00 | 1922003730 - RUSSELL COUNTY MEDICAL CENTER, INC, RUSSELL COUNTY MEDICAL CENTER | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | VA | General Acute Care Hospital (282N00000X) |
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 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 | Catheter Placement In Coronary Artery(S) For Coronoary 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 Fraft(S) With Bypass Graft Angiography |
| 93462-CPT | Moderate | Left Heart Catheterization By Transseptal Puncture Through Intact Septum Or By Transapical Puncture (List Separately In Addition To Code For Primary Procedure) |
| 93566-CPT | Low | 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) |
| 93595-CPT | High | Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Pro- Ceduralist To Advance The Catheter To The Target Zone Normal Or Abnormal 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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