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 |
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 | $1741.00 | 1013407865 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - ARVADA | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
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 | $614.00 | 1407573132 - DEACONESS ILLINOIS RED BUD REGIONAL HOSPITAL INC, RED BUD REGIONAL HOSPITAL | 884142509 | IL | Critical Access Hospital (282NC0060X) |
United | 93563 | $1017.00 | 1619115383 - ASCENSION SETON, ASCENSION SETON HAYS | 741109643 - ASCENSION SETON | TX | General Acute Care Hospital (282N00000X) |
United | 93563 | $797.00 | 1023334950 - ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC. | 271965272 - (KS) ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC | KS | General Acute Care Hospital (282N00000X) |
United | 93563 | $1647.00 | 1952326977 - AMISUB (SFH), INC., ST. FRANCIS HOSPITAL | 752522262 | TN | 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 | $7564.00 | 1174530349 - LONG ISLAND JEWISH MEDICAL CENTER, STEVEN & ALEXANDRA COHEN CHILDREN'S MEDICAL CENTER OF NEW YORK | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | Children's Hospital (282NC2000X) |
United | 93563 | $6472.00 | 1801857172 - NASSAU HEALTH CARE CORPORATION, NASSAU UNIVERSITY MEDICAL CENTER | 113465690 | NY | 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 | $217.00 | 1831330075 - JOHNSTON MEMORIAL HOSPITAL | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 93563 | $860.00 | 1225293087 - CENTENNIAL SURGUNIT, LLC, CENTENNIAL SURGERY CENTER | 223580847 - (NJ) CENTENNIAL SURGUNIT LLC | NJ | Radiology Clinic/Center (261QR0200X) |
United | 93563 | $571.00 | 1205850690 - HSHS HOLY FAMILY HOSPITAL INC | 370792770 - (IL) HSHS HOLY FAMILY HOSPITAL INC | IL | General Acute Care Hospital (282N00000X) |
United | 93563 | $6452.00 | 1255419651 - ST. FRANCIS MEDICAL CENTER | 223431049 - (NJ) CAPITAL HEALTH-EAST TRENTON INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93563 | $494.00 | 1174553598 - WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC, HAWKINS COUNTY MEMORIAL HOSPITAL | 621816368 - (TN) WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC | TN | 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 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.
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