CPT 93572 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 • 52 - Reduced Services • None |
| Complexity Level | Low |
National average reimbursement for CPT 93572 by major payers:
$172.22
$226.09
$183.93
$220.90
| 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 93572 | ||||||
United | 93572 | $90.01 | 1861832321 - SERGIO PEREZ BERACASA | 630888599 - (AL) SOUTHEASTERN CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $319.95 | 1578890992 - ARKA CHATTERJEE | 942958258 - BANNER-UNIVERSITY MEDICAL GROUP | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $153.27 | 1164737490 - MOHAN EDUPUGANTI | 863284696 - OU HEALTH PARTNERS INC | MO | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $89.29 | 1285668699 - PAUL MOORE | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $561.46 | 1245587765 - ZAKARIA ALMUWAQQAT | 582030692 - EMORY UNIVERSITY | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $51.49 | 1679979603 - DALE RAILWAH | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $156.25 | 1861597916 - BRIAN COLE | 811585825 - (AL) ECM TVCC LLC | TN | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $271.44 | 1164737490 - MOHAN EDUPUGANTI | 731321032 | MO | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $174.39 | 1851400485 - GEORGE HEMSTREET | 451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINE | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $89.29 | 1164456570 - RICHARD CRUM | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $414.08 | 1205957198 - BILAL AIJAZ | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $83.30 | 1851400485 - GEORGE HEMSTREET | 636000271 - (AL) THE DCH HEALTH CARE AUTHORITY | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $162.38 | 1487831566 - MIHIR KANITKAR | 823333903 - HUNTSVILLE HOSPITAL PROFESSIONAL SERVICES | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $54.45 | 1760585574 - YABIZ SEDGHI | 610444716 - ASHLAND HOSPITAL CORPORATION | OH | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $245.64 | 1285086504 - JOHN KOLAWOLE | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | 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 93572 vs. Other Cardiovascular Procedures Codes
The CPT 93572 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 93572 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) |
| 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) |
| 93573-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Pulmonary Arterial Angiography, Bilateral (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 93572. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93572 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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