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 |
| Medicare Fee Schedule | View Medicare rates for 93572 |
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 | $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 | $164.36 | 1225412083 - AADIL LODHI | 440577118 - LESTER E COX MEDICAL CENTER | PA | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $414.08 | 1205957198 - BILAL AIJAZ | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $162.38 | 1306058557 - MICHAEL BUTLER | 823333903 - HUNTSVILLE HOSPITAL PROFESSIONAL SERVICES | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $165.05 | 1124385927 - CHAD MCREE | 561667838 | NC | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $171.88 | 1548224157 - CARDIOLOGY CONSULTANTS PC | 630837257 - (AL) CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $104.06 | 1790057420 - BAMA HEART DOC, P.C., ALABAMA HEART AND VASCULAR MEDICINE | 451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINE | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $171.88 | 1598729105 - JEFFREY ANDERSON | 630837257 - (AL) CARDIOLOGY CONSULTANTS, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $216.30 | 1578890992 - ARKA CHATTERJEE | 942958258 - BANNER-UNIVERSITY MEDICAL GROUP | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $557.40 | 1992948046 - JACQUELINE GREEN | 260593928 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $121.77 | 1932300571 - JIMMIE DOTSON | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $118.20 | 1578890992 - ARKA CHATTERJEE | 942958258 - BANNER-UNIVERSITY MEDICAL GROUP | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $319.95 | 1578890992 - ARKA CHATTERJEE | 942958258 - BANNER-UNIVERSITY MEDICAL GROUP | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93572 | $179.47 | 1285668699 - PAUL MOORE | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 93572) and we'll show you how you compare in 15 minutes or less.