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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $61.12 national non-facility rate (2026) · View Medicare rates for 93573 |
| Medicaid Fee Schedule | $50.56 median of the 8 states in the free preview · View Medicaid rates for 93573 |
National average reimbursement for CPT 93573 by major payers:

$91.57

$87.15

$87.42

$113.13
Choose a payer to see a sample of rates for CPT 93573.
St Joseph Regional Health Center, Chi St Joseph Health Grimes Hospital
St Joseph Regional Health Center
Banner Health
Midwest Division, Lafayette Regional Health Center
Macneal Hospital
Gottlieb Community Health Services Corporation
E Plus Pet Imaging Xxi Lp, Pet Imaging Of Willowbrook
E Plus Pet Imaging Xxi Lp
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Rate Benchmarking
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See a sample payer proposalCPT 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 | 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 |
| 93574-CPT | Low | Njx Cath Slct Pulm Vn Angrph, 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 | Reduce Excess Heart Tissue, A Procedure Usually Done To Treat Hypertrophic Cardiomyopathy (Hcm). Alcohol Septal Ablation Reduces The Amount Of Excess Tissue In Order To Let Blood Flow More Freely From The Heart. A Pacemaker May Be Temporarily Inserted During The Procedure. |
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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