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See a sample rate comparisonCPT 93463 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.
Pharmacologic Administration, Pharmacologic Agent Administration (Eg Inhaled Nitric Oxide Intravenous Pharmacologic Agent Administration (Eg Inhaled Nitric Oxide Intravenous Infusion Of Nitroprusside Dobutamine Milrinone Or Other Agent) Infusion Of Nitroprusside Dobutamine Milrinone Or Other Agent) Including Assessing Hemodynamic Measurements Before During After And Including Assessing Hemodynamic Measurements Before During After And Repeat Pharmacologic Agent Administration When Performed (List Separately Repeat
| 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 | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $95.86 national non-facility rate (2026) · View Medicare rates for 93463 |
| Medicaid Fee Schedule | $79.05 median of the 8 states in the free preview · View Medicaid rates for 93463 |
National average reimbursement for CPT 93463 by major payers:
$149.47
$138.99
$139.49
$170.31
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CPT 93463
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Health System, Memorial Hermann Memorial City Cicd
Memorial Hermann Health System
$2,731.00Published rateFrisco Medical Center LLP, Baylor Scott & White Med Cntr - Frisco
Frisco Medical Center LLP
$1,571.00Published rateSurgical Specialty Center, LLC
Surgical Specialty Center LLC
$950.00Published rateSandra Lee
Professional Radiology, Inc.
$187.30Published rateChca Bayshore Lp, Bayshore Medical Center
$75.87Published rate
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See a sample payer proposalCPT 93463 vs. Other Cardiovascular Procedures Codes
The CPT 93463 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 93463 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. |
| 93463-CPT | Low | Pharmacologic Administration, Pharmacologic Agent Administration (Eg Inhaled Nitric Oxide Intravenous Pharmacologic Agent Administration (Eg Inhaled Nitric Oxide Intravenous Infusion Of Nitroprusside Dobutamine Milrinone Or Other Agent) Infusion Of Nitroprusside Dobutamine Milrinone Or Other Agent) Including Assessing Hemodynamic Measurements Before During After And Including Assessing Hemodynamic Measurements Before During After And Repeat Pharmacologic Agent Administration When Performed (List Separately Repeat |
| 93598-CPT | Low | Car Outp Meas Drg Cath Chd, Cardiac Output Measurement S Thermodilution Or Other Indicator Dilution Method Performed During Cardiac Catheterization For The Evaluation Of Congenital Heart Defects List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93463. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93463 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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