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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 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $73.48 national non-facility rate (2026) · View Medicare rates for 93572 |
| Medicaid Fee Schedule | $133.365 median of the 6 states in the free preview · View Medicaid rates for 93572 |
National average reimbursement for CPT 93572 by major payers:

$172.22

$226.09

$183.93

$216.12
Choose a payer to see a sample of rates for CPT 93572.
Jacqueline Green
Mohan Edupuganti
Integris Cardiovascular Physicians LLC
Aadil Lodhi
Lester E Cox Medical Center
Brian Cole
Ecm Tvcc LLC
Benjamin Citrin
Citrin Cardiology PC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 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 | 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 |
| 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) |
| 93573-CPT | Low | Njx Cath Slct P Art Angrp Bi, 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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