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See a sample rate comparisonCPT 93569 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 Cth Slct P Art Angrp Uni, 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
| 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 | GC - Service performed by resident under supervision LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | $37.08 national non-facility rate (2026) · View Medicare rates for 93569 |
| Medicaid Fee Schedule | $30.50 median of the 8 states in the free preview · View Medicaid rates for 93569 |
National average reimbursement for CPT 93569 by major payers:
$54.90
$52.30
$51.01
$72.45
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CPT 93569
5 of 25 sample ratesHigher to lower in this preview
Waterbury Hospital
Prospect Waterbury, Inc.
$4,512.00Published rateBon Secours Community Hospital
$2,332.00Published rateAhs Cushing Hospital LLC, Cushing Regional Hospital
Ahs Cushing Hospital LLC
$1,130.00Published rateMaricopa County Special Health Care District, Valleywise Health
$617.00Published rateLiberty County Hospital District No 1, Liberty Dayton Regional Medical Center
Liberty County Hospital District
$100.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 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 | Njx Car Cth Nslc P Art Angrp, 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 |
| 93569-CPT | Low | Njx Cth Slct P Art Angrp Uni, 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 | Iv Dop Vel&/Press C Flo 1st, Intravascular Doppler Velocity And/Or Pressure Derived Coronary Flow Reserve Measurement (Coronary Vessel Or Graft) During Coronary Angiography Including Pharmacologically Induced Stress When Performed; Initial Vessel (List Separately In Addition To Code For Primary Procedure) |
| 93572-CPT | Low | Iv Dop Vel&/Press C Flo Ea, Intravascular Doppler Velocity And/Or Pressure Derived Coronary Flow Reserve Measurement (Coronary Vessel Or Graft) During Coronary Angiography Including Pharmacologically Induced Stress When Performed; 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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