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See a sample rate comparisonCPT 93464 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.
Physiologic Exercise Study (Eg, Physiologic Exercise Study (Eg Bicycle Or Arm Ergometry) Including Assessing Hemodynamic Measurements Before And After (List Separately In Addition To Code For Primary Procedure)
| 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 | 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $223.12 national non-facility rate (2026) · View Medicare rates for 93464 |
| Medicaid Fee Schedule | $180.62 median of the 8 states in the free preview · View Medicaid rates for 93464 |
National average reimbursement for CPT 93464 by major payers:
$243.29
$336.65
$316.72
$390.98
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CPT 93464
5 of 25 sample ratesHigher to lower in this preview
Aaron Askew
Desert Bone & Joint Specialists, LLP
$640.20Published rateAlyssa Stram
$417.02Published rateElizabeth Homan
Advocate Health And Hospitals Corporation
$266.17Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$194.59Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$91.30Published rate
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See a sample payer proposalCPT 93464 vs. Other Cardiovascular Procedures Codes
The CPT 93464 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 93464 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. |
| 93464-CPT | Moderate | Physiologic Exercise Study (Eg, Physiologic Exercise Study (Eg Bicycle Or Arm Ergometry) Including Assessing Hemodynamic Measurements Before And After (List Separately In Addition To Code For Primary Procedure) |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93464. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93464 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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