CPT 93573 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • GC - Service performed by resident under supervision • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93573 |
National average reimbursement for CPT 93573 by major payers:
$91.57
$87.15
$87.42
$113.88
| 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 93573 | ||||||
United | 93573 | $2287.00 | 1811957681 - SENTARA HOSPITALS, SENTARA LEIGH HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 93573 | $1362.00 | 1063072932 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 93573 | $2127.00 | 1578591756 - MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER, MARSHALL MEDICAL CENTER | 621590713 | TN | Critical Access Hospital (282NC0060X) |
United | 93573 | $1472.00 | 1871560003 - METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP, METHODIST AMBULATORY SURGERY HOSPITAL, NORTHWEST. | 742730328 | TX | General Acute Care Hospital (282N00000X) |
United | 93573 | $1411.00 | 1619938149 - SENTARA HOSPITALS, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 93573 | $1360.00 | 1487649430 - THE MIRIAM HOSPITAL | 50258905 - THE MIRIAM HOSPITAL | RI | General Acute Care Hospital (282N00000X) |
United | 93573 | $587.00 | 1063177228 - QUITMAN COMMUNITY HOSPITAL | 872688291 | MS | Critical Access Hospital (282NC0060X) |
United | 93573 | $276.00 | 1316294069 - EMCARE | 871999484 | FL | General Acute Care Hospital (282N00000X) |
United | 93573 | $2960.00 | 1154317774 - ST JOSEPH REGIONAL HEALTH CENTER, CHI ST JOSEPH HEALTH GRIMES HOSPITAL | 741282696 - ST JOSEPH REGIONAL HEALTH CENTER | TX | Critical Access Hospital (282NC0060X) |
United | 93573 | $933.00 | 1205189172 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL OVERLOOK | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 93573 | $1649.00 | 1023418035 - ST. FRANCIS HOSPITAL INC, ST. FRANCIS CANCER CENTER | 582504530 - (SC) ST FRANCIS HOSPITAL INC | SC | General Acute Care Hospital (282N00000X) |
United | 93573 | $2374.00 | 1598144362 - PRIME HEALTHCARE SERVICES, SAINT CLARE'S HOSPITAL | 463483967 | NJ | General Acute Care Hospital (282N00000X) |
United | 93573 | $2424.00 | 1710499462 - HMH HOSPITALS CORPORATION, RIVERVIEW MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93573 | $674.00 | 1710463146 - BAPTIST HEALTH REGIONAL HOSPITALS, BAPTIST HEALTH - FORT SMITH | 825426152 - (AR) BAPTIST HEALTH REGIONAL HOSPITALS | AR | General Acute Care Hospital (282N00000X) |
United | 93573 | $155.00 | 1871996132 - NORTH RUNNELS HOSPITAL DISTRICT, NORTH RUNNELS CLINIC | 751306626 | TX | Critical Access Hospital (282NC0060X) |
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 93573 vs. Other Cardiovascular Procedures Codes
The CPT 93573 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 93573 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 |
|---|---|---|
| 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) |
| 93574-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Pulmonary Venous Angiography Of Each Distinct Pulmonary Vein During Cardiac Catheterization (List Separately In Addition To Code For Primary Procedure) |
| 93583-CPT | High | Percutaneous Transcatheter Septal Reduction Therapy (Eg Alcohol Septal Ablation) Including Temporary Pacemaker Insertion When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93573. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93573 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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