CPT 93569 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 • LT - Left side of body |
| Complexity Level | Low |
National average reimbursement for CPT 93569 by major payers:
$54.90
$52.30
$51.01
$72.29
| 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 93569 | ||||||
United | 93569 | $979.00 | 1841299039 - EMH REGIONAL MEDICAL CENTER, UNIVERSITY HOSPITALS ELYRIA MEDICAL CENTER | 340714612 - (OH) UNIVERSITY HOSPITALS HEALTH SYSTEM INC | OH | General Acute Care Hospital (282N00000X) |
United | 93569 | $2359.00 | 1609983790 - MONMOUTH MEDICAL CENTER INC | 223452412 | NJ | General Acute Care Hospital (282N00000X) |
United | 93569 | $617.00 | 1073576740 - MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT, VALLEYWISE HEALTH | 860830701 | AZ | General Acute Care Hospital (282N00000X) |
United | 93569 | $196.00 | 1609917202 - HARDIN COUNTY GENERAL HOSPITAL, HARDIN MEDICAL CENTER | 626002428 - (TN) HARDIN COUNTY GENERAL HOSPITAL | TN | General Acute Care Hospital (282N00000X) |
United | 93569 | $536.00 | 1780648352 - BAPTIST MEMORIAL HOSPITAL UNION COUNTY, INC. | 630997281 - BAPTIST MEMORIAL HOSPITAL UNION COUNTY INC | MS | General Acute Care Hospital (282N00000X) |
United | 93569 | $1649.00 | 1023418035 - ST. FRANCIS HOSPITAL INC, ST. FRANCIS CANCER CENTER | 582504530 - (SC) ST FRANCIS HOSPITAL INC | SC | General Acute Care Hospital (282N00000X) |
United | 93569 | $433.00 | 1265445506 - WILLIAMSON COUNTY HOSPITAL DISTRICT, WILLIAMSON MEDICAL CENTER | 621501534 | TN | General Acute Care Hospital (282N00000X) |
United | 93569 | $2710.00 | 1093397184 - SPRINGFIELD HEALTH SERVICES, LLC | 854366763 | TN | General Acute Care Hospital (282N00000X) |
United | 93569 | $3908.00 | 1184038663 - NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED, HOSPITAL FOR SPECIAL SURGERY | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NJ | General Acute Care Hospital (282N00000X) |
United | 93569 | $996.00 | 1275886434 - PHOENIX CHILDREN'S HOSPITAL, INC., PHOENIX CHILDREN'S SURGERY CENTER - EAST VALLEY | 860422559 - (AZ) PHOENIX CHILDRENS HOSPITAL | AZ | Children's Hospital (282NC2000X) |
United | 93569 | $1496.00 | 1619467412 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - AURORA CENTRAL | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 93569 | $1049.00 | 1871672618 - HOLLAND COMMUNITY HOSPITAL, HOLLAND HOSPITAL | 382800065 - (MI) HOLLAND COMMUNITY HOSPITAL | MI | General Acute Care Hospital (282N00000X) |
United | 93569 | $3204.00 | 1427132604 - GENESIS HEALTH SYSTEM, GENESIS MEDICAL CENTER - SILVIS | 363616314 - GENESIS HEALTH SYSTEM | IL | General Acute Care Hospital (282N00000X) |
United | 93569 | $3398.00 | 1821035940 - AKRON GENERAL MEDICAL CENTER | 340714478 - (OH) AKRON GENERAL MEDICAL CENTER | OH | General Acute Care Hospital (282N00000X) |
United | 93569 | $847.00 | 1770344665 - HH HEALTH SYSTEM | 934333907 | AL | 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 93569 vs. Other Cardiovascular Procedures Codes
The CPT 93569 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 93569 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 |
|---|---|---|
| 93568-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report; For Nonselective Pulmonary Arterial Angiography (List Separately In Addition To Code For Primary Procedure) (Desc Rvsd 1/1/23) |
| 93569-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Pulmonary Arterial Angiography, Unilateral (List Separately In Addition To Code For Primary Procedure) |
| 93571-CPT | Moderate | Intravascular Doppler Velocity And/Or Pressure Derived Coronary Flow Reserve Measurement (Coronary Vessel Or Graft) During Coronary Angiography Including Pharmacologically Induced Stress; Initial Vessel (List Separately In Addition To Code For Primary Procedure) |
| 93572-CPT | Low | Intravascular Doppler Velocity And/Or Pressure Derived Coronary Flow Reserve Measurement (Coronary Vessel Or Graft) During Coronary Angiography Including Pharmacologically Induced Stress; Each Additional Vessel (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 93569. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93569 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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