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See a sample rate comparisonHealthcare 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 | 80 - Assistant surgeon GC - Service performed by resident under supervision 62 - Co-Surgeons |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $327.00 national non-facility rate (2026) · View Medicare rates for 93592 |
| Medicaid Fee Schedule | $292.375 median of the 8 states in the free preview · View Medicaid rates for 93592 |
National average reimbursement for CPT 93592 by major payers:

$597.63

$562.86

$516.31

$661.10
Choose a payer to see a sample of rates for CPT 93592.
Inspira Medical Centers, Inc., Inspira Medical Center Vineland
Inspira Medical Centers Inc
Lutheran Musculoskeletal Center LLC, The Orthopaedic Hospital Of Lutheran Health Network
Lutheran Musculoskeletal Center LLC
Ochsner Medical Center, Ochsner Medical Complex - River Parishes
The Moses H. Cone Memorial Hospital Operating Corporation
The Moses H Cone Memorial Hospital Operating Corporation
Dickenson Community Hospital, Inc.
Dickenson Community Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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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 93592 vs. Other Cardiovascular Procedures Codes
The CPT 93592 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 93592 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) |
| 93603-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 93592. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93592 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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