CPT 93571 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 | • 26 - Professional component • None • LD - Left anterior descending coronary artery |
| Complexity Level | Moderate |
National average reimbursement for CPT 93571 by major payers:
$251.37
$359.82
$304.62
$414.85
| 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 93571 | ||||||
United | 93571 | $789.22 | 1225412083 - AADIL LODHI | 440577118 - LESTER E COX MEDICAL CENTER | PA | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $304.42 | 1770535080 - KELLEY SMITH | 631211664 - (AL) HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $83.83 | 1629191168 - CHRISTOPHER KING | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $699.95 | 1245587765 - ZAKARIA ALMUWAQQAT | 582030692 - EMORY UNIVERSITY | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $232.25 | 1699745026 - GEORGE SOLIMAN | 823333903 - HUNTSVILLE HOSPITAL PROFESSIONAL SERVICES | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $290.20 | 1245587765 - ZAKARIA ALMUWAQQAT | 260593928 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $273.10 | 1164737490 - MOHAN EDUPUGANTI | 731321032 | MO | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $281.89 | 1912043795 - JOHN LEDOUX | 630889615 - (AL) CARDIOLOGY ASSOCIATES OF MOBILE, INC. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $322.97 | 1003007980 - JUAN BERNAL | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $285.04 | 1013553197 - AMY MOORE | 451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINE | AL | Acute Care Nurse Practitioner (363LA2100X) |
United | 93571 | $221.39 | 1407810013 - LOVDIE LEWIS | 824122192 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $181.86 | 1831366996 - CHRISTOPHER HUFF | 311351965 - OHIOHEALTH CORPORATION | OH | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $322.97 | 1386809176 - FARAH AL KHITAN | 631102774 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $100.19 | 1164737490 - MOHAN EDUPUGANTI | 208630863 | MO | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $519.02 | 1912282948 - IMRAN KHALIL | 630739971 - (AL) CARDIOLOGY ASSOCIATES, P.A. | AL | Interventional Cardiology Physician (207RI0011X) |
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 93571 vs. Other Cardiovascular Procedures Codes
The CPT 93571 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 93571 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 93571. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93571 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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