CPT 93582 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 • 63 • GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
National average reimbursement for CPT 93582 by major payers:
$916.45
$912.66
$907.02
$1,078.01
| 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 93582 | ||||||
United | 93582 | $16492.00 | 1619911104 - JOHNSTON HEALTH SERVICES CORPORATION, JOHNSTON HEALTH | 463176429 - (NC) JOHNSTON HEALTH SERVICES CORPORATION | NC | General Acute Care Hospital (282N00000X) |
United | 93582 | $61413.00 | 1427064310 - MARY IMMACULATE HOSPITAL LLC, MARY IMMACULATE HOSPITAL | 540548200 | VA | General Acute Care Hospital (282N00000X) |
United | 93582 | $19662.00 | 1134117575 - ST VINCENTS MEDICAL CENTER INC, ST VINCENTS MEDICAL CENTER RIVERSIDE | 590624449 - (FL) ST VINCENTS MEDICAL CENTER INC | FL | General Acute Care Hospital (282N00000X) |
United | 93582 | $17518.00 | 1326349986 - MID COAST MEDICAL CENTER, MID COAST MEDICAL CENTER - CENTRAL | 464007700 - (TX) SCOTT & WHITE HOSPITAL | TX | Critical Access Hospital (282NC0060X) |
United | 93582 | $41435.00 | 1932190626 - PROVIDENCE HOSPITAL, PROVIDENCE HOSPITAL URGENT CARE CENTER | 530196636 - PROVIDENCE HOSPITAL | DC | General Acute Care Hospital (282N00000X) |
United | 93582 | $13789.00 | 1982697678 - ORANGE COUNTY GLOBAL MEDICAL CENTER, INC, WMC-SA INC | 550883862 - (CA) ORANGE COUNTY GLOBAL MEDICAL CENTER INC | CA | General Acute Care Hospital (282N00000X) |
United | 93582 | $6472.00 | 1720003312 - NASSAU HEALTHCARE CORPORATION, NUMC DEPARTMENT OF PATHOLOGY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 93582 | $18367.00 | 1134263254 - ALHAMBRA HOSPITAL MEDICAL CENTER, LP | 954693289 - (CA) ALHAMBRA HOSPITAL MEDICAL CENTER LP | CA | General Acute Care Hospital (282N00000X) |
United | 93582 | $13673.00 | 1841843455 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE EMERGENCY ROOM MONTWOOD | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 93582 | $51334.00 | 1841687787 - JOHN MUIR MEDICAL CENTER | 680396600 | CA | General Acute Care Hospital (282N00000X) |
United | 93582 | $23392.00 | 1891858429 - VALLEY CHILDREN'S HOSPITAL, IP CCS | 941294954 - (CA) VALLEY CHILDRENS HOSPITAL | CA | Children's Hospital (282NC2000X) |
United | 93582 | $15408.00 | 1831798719 - VANDERBILT COFFEE HOSPITAL, LLC, VANDERBILT TULLAHOMA-HARTON HOSPITAL | 853420386 | TN | General Acute Care Hospital (282N00000X) |
United | 93582 | $10163.00 | 1396317137 - STEWARD HH. INC. | 752653770 | FL | General Acute Care Hospital (282N00000X) |
United | 93582 | $20305.00 | 1659323772 - COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP, MEDICAL CITY FORT WORTH | 621682202 - (TX) COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 93582 | $19751.03 | 1376544320 - STATE UNIVERSITY OF IOWA, UNIVERSITY OF IOWA HOSPITALS & CLINICS | 426004813 | IA | General Acute Care Hospital (282N00000X) |
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 93582 vs. Other Cardiovascular Procedures Codes
The CPT 93582 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 93582 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 |
|---|---|---|
| 93580-CPT | High | Percutaneous Transcatheter Closure Of Congenital Interatrial Communication W/Implant - Dos<01/01/14 Elig Dx=42971,7455,74569,7459:Others=rn Review |
| 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 | Closure Of Congenital Heart Defect From Pulmonary (Lung) Artery To Aorta Via Catheter Accessed Throu |
| 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 93582. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93582 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 93582) and we'll show you how you compare in 15 minutes or less.