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See a sample rate comparisonCPT 93503 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.
Insrt & Placemnt Of Flow Direct Cathet (Eg Swan-Ganz) For, Insertion And Placement Of Flow Directed Catheter (Eg Swan-Ganz) For
| 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 | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $81.50 national non-facility rate (2026) · View Medicare rates for 93503 |
| Medicaid Fee Schedule | $72.915 median of the 8 states in the free preview · View Medicaid rates for 93503 |
National average reimbursement for CPT 93503 by major payers:
$132.80
$145.69
$167.35
$171.78
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CPT 93503
5 of 25 sample ratesHigher to lower in this preview
Lester E Cox Medical Centers, Cox Medical Centers
Skaggs Community Hospital Association
$9,014.00Published rateMckee Medical Center
$2,921.00Published rateSentara Princess Anne Hospital, Sentara Hospitals
Sentara Hospitals
$2,079.00Published rateHh Health System, Red Bay Hospital
Hh Health System
$1,235.00Published rateAmerican Health Imaging Of Georgia LLC, American Health Imaging Of Marietta, LLC
$169.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 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 | Insrt & Placemnt Of Flow Direct Cathet (Eg Swan-Ganz) For, Insertion And Placement Of Flow Directed Catheter (Eg Swan-Ganz) For |
| 93505-CPT | Moderate | Biopsy Of Heart Wall, A Sample Of Tissue From The Wall Dividing The Two Sides Of The Heart Is Removed By Inserting A Catheter Into A Leg Artery And Guiding It Up Into The Heart. The Tissue Sample Is Tested In A Lab. |
| 93563-CPT | Low | Njx Cgen Car Cth Slctv C Ang, 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 | Njx Car Cth Nslc P Art Angrp, 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 |
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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