CPT 93503 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • GC - Service performed by resident under supervision |
| Complexity Level | Low |
National average reimbursement for CPT 93503 by major payers:
$132.80
$145.69
$167.35
$172.33
| 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 93503 | ||||||
United | 93503 | $4798.00 | 1235966276 - HSA HH LLC | 995053647 | FL | General Acute Care Hospital (282N00000X) |
United | 93503 | $2734.00 | 1376574277 - NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL FORSYTH | 581954432 - (GA) NORTHSIDE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 93503 | $6670.95 | 1083888515 - PEACEHEALTH, SACRED HEART-RIVERBEND | 261871008 | OR | General Acute Care Hospital (282N00000X) |
United | 93503 | $2465.00 | 1558575746 - ST. JOSEPH HOSPITAL OF ORANGE, PROVIDENCE ST. JOSEPH HOSPITAL | 951643359 - (CA) ST JOSEPH HOSPITAL OF ORANGE | CA | General Acute Care Hospital (282N00000X) |
United | 93503 | $2390.00 | 1508683590 - OSF HEALTHCARE SYSTEM | 370813229 - (IL) OSF HEALTHCARE SYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 93503 | $3511.00 | 1568772507 - STATEN ISLAND UNIVERSITY HOSPITAL | 112868878 - (NY) STATEN ISLAND UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 93503 | $1965.00 | 1598703019 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING, HOSPITAL FOR SPECIAL SURGERY | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NY | General Acute Care Hospital (282N00000X) |
United | 93503 | $338.00 | 1023011657 - SWEENY HOSPITAL DISTRICT, SWEENY COMMUNITY HOSPITAL | 741498067 | TX | Critical Access Hospital (282NC0060X) |
United | 93503 | $1043.00 | 1396394961 - CLHG-ACADIAN, LLC, ACADIAN MEDICAL CENTER | 825359949 | LA | General Acute Care Hospital (282N00000X) |
United | 93503 | $8713.08 | 1487690517 - COLUMBIA CAPITAL MEDICAL CENTER, CAPITAL MEDICAL CENTER | 911352172 - MULTICARE HEALTH SYSTEM | WA | General Acute Care Hospital (282N00000X) |
United | 93503 | $977.00 | 1619270188 - VALLEY BAPTIST MEDICAL CENTER | 452663071 | TX | General Acute Care Hospital (282N00000X) |
United | 93503 | $1631.00 | 1407007537 - EISENHOWER MEDICAL CENTER, EISENHOWER | 956130458 - EISENHOWER MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 93503 | $7726.00 | 1023092053 - MARY HITCHCOCK MEMORIAL HOSPITAL | 20222140 - MARY HITCHCOCK MEMORIAL HOSPITAL | NH | General Acute Care Hospital (282N00000X) |
United | 93503 | $1099.00 | 1902857766 - COLUMBIA MEDICAL CENTER OF LAS COLINAS INC, MEDICAL CITY LAS COLINAS | 621650582 - (TX) COLUMBIA MEDICAL CENTER OF LAS COLINAS INC | TX | General Acute Care Hospital (282N00000X) |
United | 93503 | $132.94 | 1336633304 - MIDWEST IMAGING SPECIALISTS | 830977300 - (MO) MIDWEST IMAGING SPECIALISTS | MO | Radiology Clinic/Center (261QR0200X) |
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 93503 vs. Other Cardiovascular Procedures Codes
The CPT 93503 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 93503 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 |
|---|---|---|
| 93503-CPT | Low | Catheterizat Hrt Rt+Swan-Ganz Cath |
| 93505-CPT | Moderate | Endomyocardial Biopsy |
| 93563-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Coronary Angiography During Congenital Heart Catheterization (List Separately In Addition To Code For Primary Procedure) |
| 93568-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report; For Nonselective Pulmonary Arterial Angiography (List Separately In Addition To Code For Primary Procedure) (Desc Rvsd 1/1/23) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93503. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93503 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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