CPT 93574 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 • 59 - Distinct Procedural Service • 76 - Repeat procedure by same physician |
| Complexity Level | Low |
National average reimbursement for CPT 93574 by major payers:
$101.49
$96.14
$95.10
$124.80
| 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 93574 | ||||||
United | 93574 | $2400.00 | 1316904287 - ALLINA HEALTH SYSTEM, MERCY HOSPITAL | 363261413 - ALLINA HEALTH SYSTEM | MN | General Acute Care Hospital (282N00000X) |
United | 93574 | $6291.00 | 1558479212 - ADVOCATE HEALTH AND HOSPITALS CORPORATION, ADVOCATE SOUTHLAND HEALTH NETWORK | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | General Acute Care Hospital (282N00000X) |
United | 93574 | $3936.00 | 1356619761 - THE MOUNT VERNON HOSPITAL | 462916938 - (NY) MONTEFIORE MOUNT VERNON HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 93574 | $2127.00 | 1124076401 - DECATUR HOSPITAL AUTHORITY, WISE HEALTH SYSTEM | 751250450 - (TX) DECATUR HOSPITAL AUTHORITY | TX | General Acute Care Hospital (282N00000X) |
United | 93574 | $3518.00 | 1740233782 - MEMORIAL HERMANN HEALTH SYSTEM, MEMORIAL HERMANN MEMORIAL CITY HOSPITAL | 741152597 - (TX) MEMORIAL HERMANN HEALTH SYSTEM | TX | General Acute Care Hospital (282N00000X) |
United | 93574 | $1631.00 | 1417106907 - OVERLOOK HOSPITAL | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93574 | $189.00 | 1720096019 - COUNTY OF WARD, WARD MEMORIAL HOSPITAL | 756001193 | TX | Critical Access Hospital (282NC0060X) |
United | 93574 | $631.00 | 1861931115 - PENN PRESBYTERIAN MEDICAL CENTER | 232810852 - PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | 93574 | $449.00 | 1942279500 - COMMUNITY HOSPITAL ASSOCIATION | 440537826 - COMMUNITY HOSPITAL ASSOCIATION | MO | Critical Access Hospital (282NC0060X) |
United | 93574 | $2476.00 | 1962435792 - HOUSTON HOSPITALS INC, HOUSTON MEDICAL CENTER | 711045290 - (GA) HOUSTON HOSPITALS INC | GA | General Acute Care Hospital (282N00000X) |
United | 93574 | $379.00 | 1710932470 - HOSPITAL SERVICE DISTRICT NO1 PARISH OF AVOYELLES STATE OF LOUISIANA | 720697593 | LA | Critical Access Hospital (282NC0060X) |
United | 93574 | $80.00 | 1487664561 - COOK COUNTY, PROVIDENT HOSPITAL OF COOK COUNTY | 366006541 - VETERANS ASSISTANCE COMMISSION C | IL | General Acute Care Hospital (282N00000X) |
United | 93574 | $2778.00 | 1225133473 - MONMOUTH MEDICAL CENTER INC, MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS | 223452412 | NJ | General Acute Care Hospital (282N00000X) |
United | 93574 | $804.00 | 1992996235 - EMANUEL MEDICAL CENTER, INC., EMANUEL FAMILY PRACTICE - COLORADO | 752918774 | CA | General Acute Care Hospital (282N00000X) |
United | 93574 | $567.00 | 1023074028 - GEORGE COUNTY HOSPITAL | 646001398 | MS | Rural Acute Care Hospital (282NR1301X) |
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 93574 vs. Other Cardiovascular Procedures Codes
The CPT 93574 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 93574 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 |
|---|---|---|
| 93567-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Supravalvular Aortography (List Separately In Addition To Code For Primary Procedure) |
| 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) |
| 93569-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Pulmonary Arterial Angiography, Unilateral (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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93574. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93574 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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