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See a sample rate comparisonCPT 93580 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Transcath Closure Of Asd, Percutaneous Transcatheter Closure Of Congenital Interatrial Communication Ie Fontan Fenestration Atrial Septal Defect With Implant
| 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 | GC - Service performed by resident under supervision 74 - Discontinued After Anesthesia |
| Complexity Level | High |
| Medicare Fee Schedule | $844.04 national non-facility rate (2026) · View Medicare rates for 93580 |
| Medicaid Fee Schedule | $658.57 median of the 8 states in the free preview · View Medicaid rates for 93580 |
National average reimbursement for CPT 93580 by major payers:
$1,296.63
$1,321.73
$1,403.88
$1,557.08
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CPT 93580
5 of 25 sample ratesHigher to lower in this preview
Inova Health Care Services, Inova Loudoun Hospital
Inova Health Care Services
$46,138.00Published rateResilience Healthcare, Louis A. Weiss Memorial Hospital
$23,174.00Published rateMedical West Hospital Authority, An Affiliate Of Uab Health System
$14,713.00Published ratePublic Hospital District No 2 Skagit County Washington, Island Hospital
Public Hospital District No 2
$7,835.00Published rateF. Daniel Jackson, Md, PA T/A The Imaging Center
F. Daniel Jackson, M.D., P.A. T/A The Imaging Center
$892.17Published rate
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See a sample payer proposalCPT 93580 vs. Other Cardiovascular Procedures Codes
The CPT 93580 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 93580 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 |
|---|---|---|
| 93461-CPT | High | R L Hrt Art Ventricle Angio, Catheter Placement In Coronary Artery S For Coronary Angiography Including Intraprocedural Injection S For Coronary Angiography Imaging Supervision And Interpretation With Right And Left Heart Catheterization Including Intraprocedural Injection S For Left Ventriculography When Performed Catheter Placement S In Bypass Graft S Internal Mammary Free Arterial Venous Grafts With Bypass Graft Angiography |
| 93580-CPT | High | Transcath Closure Of Asd, Percutaneous Transcatheter Closure Of Congenital Interatrial Communication Ie Fontan Fenestration Atrial Septal Defect With Implant |
| 93581-CPT | High | Percutaneous Transcatheter Closure Of Congenital Ventricular Septal Defect W/Implant - Dos<01/01/14 Elig Dx=42971,7452,7454,7457-7459:Others=rn Review |
| 93582-CPT | Moderate | Repair Blood Vessel In Heart, Patent Ductus Arteriosus (Pda) Is A Congenital Disorder In Which A Blood Vessel In The Heart Fails To Close After Birth. This Procedure Closes The Blood Vessel. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93580 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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