CPT 93563 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient 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 93563 |
National average reimbursement for CPT 93563 by major payers:
$83.95
$77.96
$76.69
$97.13
| 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 93563 | ||||||
United | 93563 | $204.00 | 1669882940 - ACADIA GENERAL HOSPITAL, INC., ACADIA GENERAL HOSPITAL | 464958152 - (LA) ACADIA GENERAL HOSPITAL INC | LA | General Acute Care Hospital (282N00000X) |
United | 93563 | $1954.00 | 1295702728 - HOLMES REGIONAL MEDICAL CENTER, INC. | 590624371 - (FL) HOLMES REGIONAL MEDICAL CENTER | FL | General Acute Care Hospital (282N00000X) |
United | 93563 | $3042.00 | 1639108434 - WILLAMETTE FALLS HOSPITAL, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER | 611659489 | OR | General Acute Care Hospital (282N00000X) |
United | 93563 | $858.00 | 1568453389 - ATTENTUS MOULTON, LLC, LAWRENCE MEDICAL CENTER | 721589022 | AL | General Acute Care Hospital (282N00000X) |
United | 93563 | $4317.00 | 1699718437 - NEBRASKA HEART HOSPITAL, CHI HEALTH NEBRASKA HEART | 392031968 - (NE) NEBRASKA HEART HOSPITAL | NE | General Acute Care Hospital (282N00000X) |
United | 93563 | $3518.00 | 1730132234 - MEMORIAL HERMANN HEALTH SYSTEM | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 93563 | $2307.00 | 1619935640 - METRO WEST | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 93563 | $3064.00 | 1841274057 - SAINT LUKE'S HOSPITAL OF TRENTON, WRIGHT MEMORIAL HOSPITAL | 431707306 - SAINT LUKES HOSPITAL OF TRENTON | MO | Critical Access Hospital (282NC0060X) |
United | 93563 | $1215.00 | 1043263999 - THEDACARE MEDICAL CENTER, WILD ROSE COMMUNITY MEMORIAL HOSPITAL, INC | 396089134 - (WI) THEDACARE MEDICAL CENTER-WILD ROSE INC | WI | Critical Access Hospital (282NC0060X) |
United | 93563 | $3166.00 | 1871606764 - GLENS FALLS HOSPITAL INC | 141338413 - ALBANY MED HEALTH SYSTEM | NY | General Acute Care Hospital (282N00000X) |
United | 93563 | $5469.00 | 1598766495 - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER,INC | 720423635 - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER INC | LA | General Acute Care Hospital (282N00000X) |
United | 93563 | $1961.00 | 1093777492 - MAIMONIDES MEDICAL CENTER | 111635081 - (NY) MAIMONIDES MEDICAL CENTER- | NY | General Acute Care Hospital (282N00000X) |
United | 93563 | $10617.00 | 1417202169 - ST VINCENT'S MEDICAL CENTER | 832550272 - (CT) SVMC HOLDINGS INC | CT | General Acute Care Hospital (282N00000X) |
United | 93563 | $3392.00 | 1790297455 - HMH HOSPITALS CORPORATION, RARITAN BAY MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93563 | $2761.00 | 1144389941 - STANFORD HEALTH CARE TRI-VALLEY, VALLEY MEMORIAL HOSPITAL | 941429628 - (CA) STANFORD HEALTH CARE TRI-VALLEY | CA | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 93563 vs. Other Cardiovascular Procedures Codes
The CPT 93563 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 93563 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 | Catheter Placement In Coronary Artery(S) For Coronoary 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 Fraft(S) With Bypass Graft Angiography |
| 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93563 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 93563) and we'll show you how you compare in 15 minutes or less.