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 |
| Medicare Fee Schedule | View Medicare rates for 93569 |
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 | $100.00 | 1154324952 - LIBERTY COUNTY HOSPITAL DISTRICT NO 1, LIBERTY DAYTON REGIONAL MEDICAL CENTER | 202797853 - (TX) LIBERTY COUNTY HOSPITAL DISTRICT | TX | Critical Access Hospital (282NC0060X) |
United | 93569 | $3321.00 | 1124503636 - GENERAL CONFERENCE OF SEVENTH DAY ADVENTIST HACKETTSTOWN COMMUNITY HOS | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93569 | $133.00 | 1750612800 - TYRONE HOSPITAL | 231440116 - (PA) TYRONE HOSPITAL | PA | Critical Access Hospital (282NC0060X) |
United | 93569 | $1528.00 | 1063406684 - SAINT JOSEPH'S HOSPITAL, INC. | 580568702 - (GA) SAINT JOSEPHS HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 93569 | $351.00 | 1518395342 - JACKSON COUNTY HOSPITAL DISTRICT, JACKSON HOSPITAL | 596001321 - (FL) JACKSON COUNTY HOSPITAL DISTRICT | FL | Rural Acute Care Hospital (282NR1301X) |
United | 93569 | $1048.00 | 1760513980 - INOVA HEALTH CARE SERVICES, INOVA FAIR OAKS HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 93569 | $1998.00 | 1720058027 - RENOWN SOUTH MEADOWS MEDICAL CENTER | 460517825 - (NV) RENOWN SOUTH MEADOWS MEDICAL CENTER | NV | General Acute Care Hospital (282N00000X) |
United | 93569 | $1424.00 | 1629025648 - SAINT THOMAS WEST HOSPITAL, ASCENSION SAINT THOMAS HOSPITAL | 620347580 - (TN) SAINT THOMAS WEST HOSPITAL | TN | General Acute Care Hospital (282N00000X) |
United | 93569 | $388.00 | 1033214416 - COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC, COMMUNITY FIRST MEDICAL CENTER | 472313900 - (IL) COMMUNITY FIRST HEALTHCARE OF IL | IL | General Acute Care Hospital (282N00000X) |
United | 93569 | $632.00 | 1184139750 - CATHOLIC HEALTH INIATIVES COLORADO, ST ANTHONY NORTH HEALTH CAMPUS | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | General Acute Care Hospital (282N00000X) |
United | 93569 | $1516.00 | 1619924362 - EAST ORANGE GENERAL HOSPITAL | 854153331 - (NJ) EOH ACQUISITIONS GROUP, LLC DBA CAREWELL HEALTH | NJ | General Acute Care Hospital (282N00000X) |
United | 93569 | $3431.00 | 1760413777 - THEDACARE MEDICAL CENTER, COMMUNITY HEALTH NETWORK, INC AND BERLIN MEMORIAL HOSPITAL | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | Critical Access Hospital (282NC0060X) |
United | 93569 | $4512.00 | 1184615114 - WATERBURY HOSPITAL | 812181470 - (CT) PROSPECT WATERBURY, INC. | CT | General Acute Care Hospital (282N00000X) |
United | 93569 | $1411.00 | 1376540138 - SENTARA HOSPITALS, SENTARA OBICI HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 93569 | $1042.00 | 1972063758 - ADVENTHEALTH RANSOM MEMORIAL, INC. | 830976641 - (KS) ADVENTHEALTH RANSOM MEMORIAL INC | KS | 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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