CPT 93583 Fee Schedule
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.
| 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 • 22 - Increased Procedural Services |
| Complexity Level | High |
National average reimbursement for CPT 93583 by major payers:
$1,037.67
$1,019.20
$995.88
$1,204.92
| 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 93583 | ||||||
United | 93583 | $1100.00 | 1689650921 - EASTLAND MEMORIAL HOSPITAL DISTRICT, EASTLAND MEMORIAL HOSPITAL | 752313255 | TX | General Acute Care Hospital (282N00000X) |
United | 93583 | $2411.00 | 1174530349 - LONG ISLAND JEWISH MEDICAL CENTER, STEVEN & ALEXANDRA COHEN CHILDREN'S MEDICAL CENTER OF NEW YORK | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | Children's Hospital (282NC2000X) |
United | 93583 | $7903.00 | 1942241799 - SAINT LUKE'S NORTH HOSPITAL, SAINT LUKE'S NORLAND HOSPITAL-SMITHVILLE | 440565393 - (MO) SAINT LUKES NORTH HOSPITAL | MO | General Acute Care Hospital (282N00000X) |
United | 93583 | $3122.00 | 1942685920 - SSM-SLUH INC, SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL | 474196634 - (MO) SSM-SLUH INC | MO | General Acute Care Hospital (282N00000X) |
United | 93583 | $2131.00 | 1053375576 - BAPTIST MEMORIAL HOSPITAL NORTH MISSISSIPPI, INC | 640772726 - BAPTIST MEMORIAL HOSPITAL-NORTH MISSISSIPPI INC | MS | General Acute Care Hospital (282N00000X) |
United | 93583 | $3620.00 | 1457347239 - UHS-CORONA INC, CORONA REGIONAL MEDICAL CENTER | 432035443 | CA | General Acute Care Hospital (282N00000X) |
United | 93583 | $13999.00 | 1801299375 - OCHSNER MEDICAL CENTER, OCHSNER MEDICAL COMPLEX - RIVER PARISHES | 205432782 | LA | Critical Access Hospital (282NC0060X) |
United | 93583 | $7769.00 | 1437122926 - LANCASTER HOSPITAL CORPORATION | 571098556 - (SC) MEDICAL UNIVERSITY HOSPITAL AUTHORITY | SC | General Acute Care Hospital (282N00000X) |
United | 93583 | $2062.00 | 1467504555 - THE METHODIST HOSPITALS, INC | 350868133 - METHODIST HOSPITALS INC | IN | General Acute Care Hospital (282N00000X) |
United | 93583 | $8637.00 | 1902857766 - COLUMBIA MEDICAL CENTER OF LAS COLINAS INC, MEDICAL CITY LAS COLINAS | 621650582 - (TX) COLUMBIA MEDICAL CENTER OF LAS COLINAS INC | TX | General Acute Care Hospital (282N00000X) |
United | 93583 | $3872.00 | 1669596094 - NORTH CAROLINA BAPTIST HOSPITAL, WAKE FOREST BAPTIST MEDICAL CENTER | 560552787 - (NC) NORTH CAROLINA BAPTIST HOSPITAL | NC | General Acute Care Hospital (282N00000X) |
United | 93583 | $5991.35 | 1336623198 - IACC/EHI NW, LLC, INTEGRIS COMMUNITY HOSPITAL - OKC WEST | 352635546 - (OK) IACCEHI NW LLC | OK | General Acute Care Hospital (282N00000X) |
United | 93583 | $18709.00 | 1801821376 - JOHN MUIR HEALTH, JOHN MUIR HEALTH MEDICAL CENTER, CONCORD CAMPUS | 680396600 | CA | General Acute Care Hospital (282N00000X) |
United | 93583 | $697.00 | 1356307656 - THE BROOKDALE HOSPITAL MEDICAL CENTER | 111631746 - BROOKDALE HOSPITAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 93583 | $9194.00 | 1235172057 - SEQUOIA HEALTH SERVICES, SEQUOIA HOSPITAL | 943246947 | CA | 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 |
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CPT 93583 vs. Other Cardiovascular Procedures Codes
The CPT 93583 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 93583 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 93583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93583 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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