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 |
| Medicare Fee Schedule | View Medicare rates for 93571 |
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 | $285.04 | 1487790481 - JAMES TRIMM | 631119002 - (AL) BIRMINGHAM HEART CLINIC, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $546.02 | 1386601136 - GARY ROUBIN | 205826243 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $97.48 | 1306058557 - MICHAEL BUTLER | 812971996 - (AL) HH HEART CENTER LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $219.89 | 1831346006 - RAM BALASUBRAMANIAN | 823898488 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $206.24 | 1679845531 - DANA HEMSTREET | 451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINE | AL | Family Nurse Practitioner (363LF0000X) |
United | 93571 | $134.75 | 1437129152 - DAVID DRENNING | 812971996 - (AL) HH HEART CENTER LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $221.39 | 1407810013 - LOVDIE LEWIS | 824122192 | 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 | $232.25 | 1306058557 - MICHAEL BUTLER | 812971996 - (AL) HH HEART CENTER LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $519.02 | 1912282948 - IMRAN KHALIL | 630739971 - (AL) CARDIOLOGY ASSOCIATES, P.A. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $355.50 | 1326077058 - MICHAEL MANSOUR | 631012832 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $220.25 | 1801897772 - BANKIMCHANDRA PATEL | 472253254 - (AL) PRIME HEALTHCARE SERVICESGADSDEN PHYSICIAN MANAGEMENT LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $322.97 | 1629191168 - CHRISTOPHER KING | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $247.88 | 1760585574 - YABIZ SEDGHI | 410729979 - NORTH MEMORIAL HEALTH CARE | OH | Interventional Cardiology Physician (207RI0011X) |
United | 93571 | $120.19 | 1760514772 - APEX CARDIOLOGY, PC | 208535345 - (AL) APEX CARDIOLOGY, PC | 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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