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 |
| Medicare Fee Schedule | View Medicare rates for 93503 |
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 | $2071.00 | 1477616571 - LENOX HILL HOSPITAL | 131624070 - (NY) LENOX HILL HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 93503 | $169.36 | 1508425380 - AMERICAN HEALTH IMAGING OF GEORGIA LLC, AMERICAN HEALTH IMAGING OF MARIETTA, LLC | 582388975 | GA | Radiology Clinic/Center (261QR0200X) |
United | 93503 | $951.00 | 1285717298 - NIAGARA FALLS MEMORIAL MEDICAL CENTER | 160743094 - (NY) NIAGARA FALLS MEMORIAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 93503 | $2511.00 | 1306098157 - NEW YORK NEUROLOGY & SLEEP MEDICINE, P.C. | 111630755 - (NY) THE BROOKLYN HOSPITAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 93503 | $2079.00 | 1528028396 - SENTARA PRINCESS ANNE HOSPITAL, SENTARA HOSPITALS | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 93503 | $2001.00 | 1104653153 - HSA CGH LLC | 995038459 | FL | General Acute Care Hospital (282N00000X) |
United | 93503 | $2549.00 | 1225150444 - DOCTORS HOSPITAL OF SARASOTA, HCA FLORIDA SARASOTA DOCTORS HOSPITAL | 611258724 | FL | General Acute Care Hospital (282N00000X) |
United | 93503 | $2263.00 | 1093397184 - SPRINGFIELD HEALTH SERVICES, LLC | 854366763 | TN | General Acute Care Hospital (282N00000X) |
United | 93503 | $1561.00 | 1811924954 - NATCHEZ REGIONAL MEDICAL CENTER | 371756496 | MS | General Acute Care Hospital (282N00000X) |
United | 93503 | $824.00 | 1679678767 - MATAGORDA COUNTY HOSPITAL DISTRICT, MATAGORDA REGIONAL MEDICAL CENTER | 746025069 - (TX) MATAGORDA COUNTY HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 93503 | $2921.00 | 1710140322 - MCKEE MEDICAL CENTER | 840826332 - (CO) MCKEE MEDICAL CENTER | CO | General Acute Care Hospital (282N00000X) |
United | 93503 | $662.00 | 1942241799 - SAINT LUKE'S NORTH HOSPITAL, SAINT LUKE'S NORLAND HOSPITAL-SMITHVILLE | 440565393 - (MO) SAINT LUKES NORTH HOSPITAL | MO | General Acute Care Hospital (282N00000X) |
United | 93503 | $1793.00 | 1124218367 - METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP, METHODIST SPECIALTY AND TRANSPLANT HOSPITAL | 742730328 | TX | General Acute Care Hospital (282N00000X) |
United | 93503 | $3324.00 | 1376529743 - MORTON PLANT HOSPITAL ASSOCIATION INC, MORTON PLANT HOSPITAL | 590624462 - (FL) MORTON PLANT HOSPITAL ASSOCIATION INC | FL | General Acute Care Hospital (282N00000X) |
United | 93503 | $977.00 | 1619270188 - VALLEY BAPTIST MEDICAL CENTER | 452663071 | TX | 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 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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