CPT 93565 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 • GC - Service performed by resident under supervision • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93565 |
National average reimbursement for CPT 93565 by major payers:
$55.67
$59.04
$54.92
$67.82
| 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 93565 | ||||||
United | 93565 | $446.00 | 1679816201 - TEMECULA VALLEY HOSPITAL INC, TEMECULA VALLEY HOSPITAL | 461246570 - (CA) TEMECULA VALLEY HOSPITAL INC | CA | General Acute Care Hospital (282N00000X) |
United | 93565 | $669.00 | 1326022765 - VHS OF ARROWHEAD, INC, ABRAZO ARROWHEAD CAMPUS | 621811285 | AZ | General Acute Care Hospital (282N00000X) |
United | 93565 | $3439.00 | 1558937474 - MEDICAL UNIVERSITY HOSPITAL AUTHORITY, MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 93565 | $960.00 | 1164526786 - ASCENSION SETON, ASCENSION SETON MEDICAL CENTER AUSTIN | 741109643 - ASCENSION SETON | TX | General Acute Care Hospital (282N00000X) |
United | 93565 | $1798.00 | 1477807436 - UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS | 753175630 | TX | General Acute Care Hospital (282N00000X) |
United | 93565 | $2144.00 | 1073535027 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, BELLEVUE HOSPITAL CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 93565 | $1567.00 | 1447299649 - WESLEY MEDICAL CENTER LLC, WESLEY MEDICAL CENTER | 621762545 - (KS) WESLEY MEDICAL CENTER LLC | KS | General Acute Care Hospital (282N00000X) |
United | 93565 | $1308.00 | 1790789212 - AHS HOSPITAL CORP, NEWTON MEDICAL CENTER | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93565 | $165.00 | 1821549502 - DIMMIT REGIONAL HOSPITAL | 263091251 - (TX) DIMMIT REGIONAL HOSPITAL | TX | Critical Access Hospital (282NC0060X) |
United | 93565 | $1414.00 | 1588659528 - RHODE ISLAND HOSPITAL | 50258954 - RHODE ISLAND HOSPITAL | RI | General Acute Care Hospital (282N00000X) |
United | 93565 | $3315.00 | 1881909323 - JERSEY SHORE MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | Children's Hospital (282NC2000X) |
United | 93565 | $40.00 | 1588795942 - IVY CREEK OF ELMORE, LLC, ELMORE COMMUNITY HOSPITAL | 631253446 | AL | General Acute Care Hospital (282N00000X) |
United | 93565 | $4426.00 | 1689038408 - THEDACARE REGIONAL MEDICAL CENTER, APPLETON MEDICAL CENTER, INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 93565 | $400.00 | 1518957174 - ROANE MEDICAL CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 93565 | $437.00 | 1841335783 - ST. JOSEPH HEALTH SERVICES OF RI, EEG GROUP | 464661337 | RI | 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 93565 vs. Other Cardiovascular Procedures Codes
The CPT 93565 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 93565 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 93565. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93565 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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