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 |
| Medicare Fee Schedule | View Medicare rates for 93583 |
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 | $3262.00 | 1982663423 - ST. CATHERINE OF SIENA MEDICAL CENTER | 61562701 - (NY) ST CATHERINE OF SIENA MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 93583 | $4306.00 | 1922033547 - CHA HOLLYWOOD MEDICAL CENTER, LP, HOLLYWOOD PRESBYTERIAN MEDICAL CENTER | 300284087 - (CA) CHA HOLLYWOOD MEDICAL CENTER LP | CA | 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 | $1909.00 | 1881665164 - CLHG-LEESVILLE, BYRD REGIONAL HOSPITAL | 824337635 | LA | General Acute Care Hospital (282N00000X) |
United | 93583 | $2200.00 | 1932254265 - EMHFL, INC., FORT LOGAN HOSPITAL | 611388556 - (KY) EMHFL INC | KY | Critical Access Hospital (282NC0060X) |
United | 93583 | $3133.00 | 1518104199 - WESTERN RESERVE HOSPITAL, LLC, SUMMA WESTERN RESERVE HOSPITAL, LLC | 263536780 - (OH) WESTERN RESERVE HOSPITAL, LLC | OH | General Acute Care Hospital (282N00000X) |
United | 93583 | $3623.00 | 1104917780 - HEALTH CARE AUTHORITY FOR BAPTIST HEALTH AN AFFILIATE OF UABHS, BAPTIST MEDICAL CENTER EAST | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | AL | General Acute Care Hospital (282N00000X) |
United | 93583 | $5074.00 | 1225280514 - SAINT PETERS UNIVERSITY HOSPITAL | 221487330 - (NJ) SAINT PETERS UNIVERSITY HOSPITAL | NJ | General Acute Care Hospital (282N00000X) |
United | 93583 | $2253.00 | 1902280050 - JOHNSTON MEMORIAL HOSPITAL, INC, JOHNSTON MEMORIAL HOSPITAL REHABILITATION | 540544705 - JOHNSTON MEMORIAL HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 93583 | $3987.00 | 1881690691 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK EASTERN LONG ISLAND HOSPITAL | 113243405 | NY | General Acute Care Hospital (282N00000X) |
United | 93583 | $2071.00 | 1265818488 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 93583 | $341.00 | 1588614036 - ST. HELENA PARISH HOSPITAL | 720627145 - (LA) ST HELENA PARISH HOSPITAL | LA | Critical Access Hospital (282NC0060X) |
United | 93583 | $4840.00 | 1114993086 - WAKEMED, WAKEMED CARY HOSPITAL | 566017737 - WAKEMED | NC | General Acute Care Hospital (282N00000X) |
United | 93583 | $1030.00 | 1790174860 - PRIME HEALTHCARE SERVICES MESQUITE LLC | 472177648 | TX | General Acute Care Hospital (282N00000X) |
United | 93583 | $684.00 | 1215939210 - BRFHH MONROE LLC, OCHSNER LSU HEALTH MONROE | 800945173 - (LA) BRFHH MONROE LLC | LA | 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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