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See a sample rate comparisonHealthcare 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 LD - Left anterior descending coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $92.86 national non-facility rate (2026) · View Medicare rates for 93571 |
| Medicaid Fee Schedule | $240.34 median of the 7 states in the free preview · View Medicaid rates for 93571 |
National average reimbursement for CPT 93571 by major payers:

$251.37

$359.82

$304.62

$406.27
Choose a payer to see a sample of rates for CPT 93571.
Zakaria Almuwaqqat
Emory University
James Trimm
Birmingham Heart Clinic, PC
Bankimchandra Patel
Prime Healthcare Servicesgadsden Physician Management LLC
Taimoor Hashim
Jackson Hospital & Clinic Inc
Areen Al-Taie
Heart Health Center, PC
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Rate Benchmarking
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See a sample payer proposalCPT 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 | 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 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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