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See a sample rate comparisonCPT 93564 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.
Njx Cgen Car Cath Slctv Opac, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Opacification Of Aortocoronary Venous Or Arterial Bypass Graft S Eg Aortocoronary Saphenous Vein Free Radial Artery Or Free Mammary Artery Graft To One Or More Coronary Arteries And In Situ Arterial Conduits Eg Internal Mammary Whether Native Or Used For Bypass To One Or More Coronary Arteries During Congenital Heart Catheterization When Performed List Separately In Addition To Code For Primary Procedure
| 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 | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $53.44 national non-facility rate (2026) · View Medicare rates for 93564 |
| Medicaid Fee Schedule | $41.615 median of the 8 states in the free preview · View Medicaid rates for 93564 |
National average reimbursement for CPT 93564 by major payers:
$86.27
$81.65
$78.71
$100.51
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CPT 93564
5 of 25 sample ratesHigher to lower in this preview
University Mcduffie County Regional Medical Center, Inc., Piedmont Mcduffie Hospital
University Mcduffie County Regional Medical Center Inc
$10,066.00Published rateCentral Valley General Hospital
$2,716.00Published rateSt Joseph Regional Health Center, St Joseph Ambulatory Surgery
St Joseph Regional Health Center
$1,508.00Published rateHenderson Memorial Hospital
$551.00Published rateWebster Surgical Specialty Hospital, LLC, Houston Physicians' Hospital
Webster Surgical Specialty Hospital LLC
$272.00Published rate
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See a sample payer proposalCPT 93564 vs. Other Cardiovascular Procedures Codes
The CPT 93564 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 93564 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 |
| 93564-CPT | Low | Njx Cgen Car Cath Slctv Opac, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Opacification Of Aortocoronary Venous Or Arterial Bypass Graft S Eg Aortocoronary Saphenous Vein Free Radial Artery Or Free Mammary Artery Graft To One Or More Coronary Arteries And In Situ Arterial Conduits Eg Internal Mammary Whether Native Or Used For Bypass To One Or More Coronary Arteries During Congenital Heart Catheterization When Performed List Separately In Addition To Code For Primary Procedure |
| 93565-CPT | Low | Njx Car Cth Slctv Lv La Ang, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Left Ventricular Or Left Atrial Angiography List Separately In Addition To Code For Primary Procedure |
| 93566-CPT | Low | Njx Car Cth Slctv Rv Ra Ang, Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report For Selective Right Ventricular Or Right Atrial 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 93564. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93564 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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