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See a sample rate comparisonCPT 93591 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.
Percutaneous Transcatheter Clo, Percutaneous Transcatheter Closure Of Paravalvularleak Initial Occlusion Device Aortic Valve
| 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 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $751.85 national non-facility rate (2026) · View Medicare rates for 93591 |
| Medicaid Fee Schedule | $663.67 median of the 8 states in the free preview · View Medicaid rates for 93591 |
National average reimbursement for CPT 93591 by major payers:
$1,332.82
$1,278.81
$1,166.15
$1,489.37
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CPT 93591
5 of 25 sample ratesHigher to lower in this preview
Park Nicollet Methodist Hospital, Park Nicollet Surgery Center
Park Nicollet Health Services
$69,305.00Published rateIntegris Health Edmond, Inc, Integris Health Edmond Hospital
Integris Health Edmond Inc
$32,706.80Published rateDignity Community Care, Glendale Memorial Hospital And Health Center
$15,381.00Published ratePorter Hospital LLC, Northwest Health-Porter
$7,640.00Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$804.55Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93591 vs. Other Cardiovascular Procedures Codes
The CPT 93591 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 93591 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) |
| 93602-CPT | Moderate | 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 93591. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93591 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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