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 |
| Medicare Fee Schedule | View Medicare rates for 93462 |
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 | $8176.00 | 1104847888 - SOUND SHORE MEDICAL CENTER OF WESTCHESTER | 462931956 - (NY) MONTEFIORE NEW ROCHELLE HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 93462 | $250.00 | 1912428301 - TANNER MEDICAL CENTER ALABAMA INC, TANNER MEDICAL CENTER | 475348597 - (AL) TANNER MEDICAL CENTER ALABAMA INC | AL | Critical Access Hospital (282NC0060X) |
United | 93462 | $1708.00 | 1225293087 - CENTENNIAL SURGUNIT, LLC, CENTENNIAL SURGERY CENTER | 223580847 - (NJ) CENTENNIAL SURGUNIT LLC | NJ | Radiology Clinic/Center (261QR0200X) |
United | 93462 | $1401.00 | 1568668754 - MEMORIAL HEALTH SYSTEM, MEMORIAL HOSPITAL PHYS GROUP | 460796114 - (CO) UCH-MHS | CO | General Acute Care Hospital (282N00000X) |
United | 93462 | $217.00 | 1831330075 - JOHNSTON MEMORIAL HOSPITAL | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 93462 | $359.30 | 1760429831 - BRUCE MADSEN | 930590581 - EYECARE ASSOCIATES PC | OR | Ophthalmology Physician (207W00000X) |
United | 93462 | $1513.00 | 1225087190 - ASCENSION ST FRANCIS HOSPITAL, INC, ASCENSION ST FRANCIS HOSPITAL | 390907740 - (WI) ASCENSION ST FRANCIS HOSPITAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 93462 | $750.00 | 1770568123 - VHS ACQUISITION SUBSIDIARY NUMBER 3 INC, LOUIS A. WEISS MEMORIAL HOSPITAL | 352637418 | IL | General Acute Care Hospital (282N00000X) |
United | 93462 | $10617.00 | 1417202169 - ST VINCENT'S MEDICAL CENTER | 832550272 - (CT) SVMC HOLDINGS INC | CT | General Acute Care Hospital (282N00000X) |
United | 93462 | $1253.00 | 1083286801 - STEWARD CGH, INC. | 862608394 | FL | General Acute Care Hospital (282N00000X) |
United | 93462 | $7742.00 | 1730140591 - INDIANA UNIVERSITY HEALTH MORGAN HOSPITAL INC | 351955872 - (IN) INDIANA UNIVERSITY HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | 93462 | $3546.00 | 1700910189 - DIGNITY COMMUNITY CARE, CHANDLER REGIONAL MEDICAL CENTER | 951642380 | AZ | General Acute Care Hospital (282N00000X) |
United | 93462 | $2388.00 | 1184159188 - HSS WESTCHESTER | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NY | Radiology Clinic/Center (261QR0200X) |
United | 93462 | $2548.00 | 1053354100 - LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH, LONG ISLAND COMMUNITY HOSPITAL | 133971298 - NYU LANGONE HOSPITALS | NY | General Acute Care Hospital (282N00000X) |
United | 93462 | $3961.00 | 1053316844 - VIRTUA WILLINGBORO HOSPITAL INC, VIRTUA HEALTH & WELLNESS CENTER | 223612265 - (NJ) VIRTUA WILLINGBORO HOSPITAL INC | NJ | 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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