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See a sample rate comparisonHealthcare 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 | 62 - Co-Surgeons GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $912.51 national non-facility rate (2026) · View Medicare rates for 93590 |
| Medicaid Fee Schedule | $799.655 median of the 8 states in the free preview · View Medicaid rates for 93590 |
National average reimbursement for CPT 93590 by major payers:

$1,637.30

$1,542.69

$1,442.02

$1,798.84
Choose a payer to see a sample of rates for CPT 93590.
Franciscan Health System, St Joseph Medical Center
Franciscan Health System
Integris Health Ponca City Hospital Inc, Integris Health Ponca City Hospital
Lafayette General Medical Center Inc
Inspira Medical Centers, Inc.
Inspira Medical Centers Inc
Carolina Radiology Associates LLC
Carolina Radiology Associates, LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 93590 vs. Other Cardiovascular Procedures Codes
The CPT 93590 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 93590 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 |
|---|---|---|
| 93590-CPT | High | Percutaneous Transcatheter Clo, Percutaneous Transcatheter Closure Of Paravalvularleak Initial Occlusion Device Mitral Valve |
| 93591-CPT | High | Percutaneous Transcatheter Clo, Percutaneous Transcatheter Closure Of Paravalvularleak Initial Occlusion Device Aortic Valve |
| 93592-CPT | Moderate | Percutaneous Transcatheter Clo, Percutaneous Transcatheter Closure Of Paravalvularleak Each Additional Occlusion Device (List Sepa Rately In Addition To Code For Primary Procedure) |
| 93600-CPT | High | Recording Of Heart Activity, A Recording Of Electrical Activity Inside The Heart Generally Is Focused On A Specific Area That Affects The Speed And Regularity Of The Heart Rhythm. Areas Commonly Evaluated Include The Upper And Lower Chambers And A Part Of The Wall In Between. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93590 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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