CPT 93564 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 • XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93564 |
National average reimbursement for CPT 93564 by major payers:
$86.27
$81.65
$78.71
$100.96
| 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 93564 | ||||||
United | 93564 | $2490.86 | 1275593337 - COMMUNITY HOSPITAL LLC, COMMUNITY HOSPITAL | 202501360 | OK | General Acute Care Hospital (282N00000X) |
United | 93564 | $725.00 | 1134117575 - ST VINCENTS MEDICAL CENTER INC, ST VINCENTS MEDICAL CENTER RIVERSIDE | 590624449 - (FL) ST VINCENTS MEDICAL CENTER INC | FL | General Acute Care Hospital (282N00000X) |
United | 93564 | $517.00 | 1427682137 - DECATUR HOSPITAL AUTHORITY | 751250450 - (TX) DECATUR HOSPITAL AUTHORITY | TX | General Acute Care Hospital (282N00000X) |
United | 93564 | $1646.00 | 1871883702 - MAIMONIDES MEDICAL CENTER | 111635081 - (NY) MAIMONIDES MEDICAL CENTER- | NY | General Acute Care Hospital (282N00000X) |
United | 93564 | $272.00 | 1285699835 - WEBSTER SURGICAL SPECIALTY HOSPITAL, LLC, HOUSTON PHYSICIANS' HOSPITAL | 571145567 - (TX) WEBSTER SURGICAL SPECIALTY HOSPITAL LLC | TX | General Acute Care Hospital (282N00000X) |
United | 93564 | $1085.00 | 1407169196 - AMH CATH LABS LLC, TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON | 203003947 - (TX) AMH CATH LABS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 93564 | $647.00 | 1962976472 - BAXTER COUNTY REGIONAL HOSPITAL, INC | 710561765 - BAXTER COUNTY REGIONAL HOSPITAL INC | AR | General Acute Care Hospital (282N00000X) |
United | 93564 | $366.00 | 1487724712 - THE BROOKDALE HOSPITAL MEDICAL CENTER | 111631746 - BROOKDALE HOSPITAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 93564 | $2716.00 | 1891777983 - CENTRAL VALLEY GENERAL HOSPITAL | 770324630 - (CA) CENTRAL VALLEY GENERAL HOSPITAL | CA | General Acute Care Hospital (282N00000X) |
United | 93564 | $4312.00 | 1558365890 - METHODIST HEALTHCARE | 620479367 - METHODIST HEALTHCARE-MEMPHIS | TN | General Acute Care Hospital (282N00000X) |
United | 93564 | $664.00 | 1639797913 - SINGING RIVER GULFPORT | 851538878 | MS | General Acute Care Hospital (282N00000X) |
United | 93564 | $3298.00 | 1699874248 - SHANDS TEACHING HOSPITAL AND CLINICS, INC. | 591943502 - (FL) SHANDS TEACHING HOSPITAL AND CLINICS INC | FL | General Acute Care Hospital (282N00000X) |
United | 93564 | $833.00 | 1619265766 - INOVA RESTON MRI CENTER LLC, FAIRFAX MRI AND IMAGING CENTER AT TYSONS | 264587374 | VA | Radiology Clinic/Center (261QR0200X) |
United | 93564 | $1508.00 | 1942294939 - ST JOSEPH REGIONAL HEALTH CENTER, ST JOSEPH AMBULATORY SURGERY | 741282696 - ST JOSEPH REGIONAL HEALTH CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 93564 | $551.00 | 1205880424 - HENDERSON MEMORIAL HOSPITAL | 824019349 | TX | Rural Acute Care Hospital (282NR1301X) |
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 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 | Catheterizat Hrt Rt+Swan-Ganz Cath |
| 93564-CPT | Low | Injection Procdure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report; For Selective Opacification Of Aortocoronary Venous Or Arterial Bypass Graft(S) (Eg Aortocoronary Sapheous 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 Congential Heart Catheterization When Performed (List Separately |
| 93565-CPT | Low | 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 | 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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