CPT 93592 Fee Schedule
Healthcare 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 | • None • 80 - Assistant surgeon • GC - Service performed by resident under supervision • 62 - Co-Surgeons |
| Complexity Level | Moderate |
National average reimbursement for CPT 93592 by major payers:
$597.63
$562.86
$516.31
$664.97
| 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 93592 | ||||||
United | 93592 | $647.20 | 1265446025 - MATTHEW KNECHT | 134352061 | OR | Optometrist (152W00000X) |
United | 93592 | $551.00 | 1285689133 - EAST TEXAS MEDICAL CENTER JACKSONVILLE | 824037220 | TX | General Acute Care Hospital (282N00000X) |
United | 93592 | $2081.00 | 1184682874 - S P ACQUISITION CORP., GRANDVIEW MEDICAL CENTER | 620840204 | TN | General Acute Care Hospital (282N00000X) |
United | 93592 | $2724.00 | 1588962625 - JERSEY CITY MEDICAL CENTER | 222783298 - (NJ) JERSEY CITY MEDICAL CENTER | NJ | General Acute Care Hospital (282N00000X) |
United | 93592 | $1538.00 | 1275583726 - CAPITAL HEALTH SYSTEM INC, REGIONAL MEDICAL CENTER | 223548695 - (NJ) CAPITAL HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93592 | $3392.00 | 1790297455 - HMH HOSPITALS CORPORATION, RARITAN BAY MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93592 | $212.00 | 1609345685 - MOUNTAIN VISTA MEDICAL CENTER, LP, FLORENCE HOSPITAL, A CAMPUS OF MOUNTAIN VISTA MEDICAL CENTER | 202066363 - (AZ) MOUNTAIN VISTA MEDICAL CENTER LP | AZ | General Acute Care Hospital (282N00000X) |
United | 93592 | $199.00 | 1285607416 - ASHTABULA COUNTY MEDICAL CENTER | 340726081 - (OH) ASHTABULA COUNTY MEDICAL CENTER | OH | General Acute Care Hospital (282N00000X) |
United | 93592 | $981.00 | 1841308020 - ST. VINCENT'S EAST, ASCENSION ST. VINCENT'S EAST | 630578923 - (AL) ST VINCENTS EAST | AL | General Acute Care Hospital (282N00000X) |
United | 93592 | $1880.00 | 1215030697 - NEW YORK COMMUNITY HOSPITAL OF BROOKLYN INC | 111986351 - NEW YORK COMMUNITY HOSPITAL OF BROOKLYN INC | NY | General Acute Care Hospital (282N00000X) |
United | 93592 | $2435.00 | 1659321198 - PARKRIDGE MEDICAL CENTER, INC., PARKRIDGE EAST HOSPITAL | 620840204 | TN | General Acute Care Hospital (282N00000X) |
United | 93592 | $648.00 | 1710913140 - PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON, ISLAND HOSPITAL | 910729255 - (WA) PUBLIC HOSPITAL DISTRICT NO 2 | WA | General Acute Care Hospital (282N00000X) |
United | 93592 | $1065.00 | 1962537407 - BATON ROUGE GENERAL MEDICAL CENTER | 721025017 - (LA) BATON ROUGE GENERAL MEDICAL CENTER | LA | General Acute Care Hospital (282N00000X) |
United | 93592 | $2059.00 | 1649223645 - ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP, ROUND ROCK MEDICAL CENTER | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 93592 | $80.00 | 1588612832 - COOK COUNTY, JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY | 366006541 - VETERANS ASSISTANCE COMMISSION C | IL | 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 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 Closure Of Para- Valvular Leak; Initial Occlusion Device Mitral Valve |
| 93591-CPT | High | Percutaneous Transcatheter Closure Of Para- Valvular Leak; Initial Occlusion Device Aortic Valve |
| 93592-CPT | Moderate | Percutaneous Transcatheter Closure Of Para- Valvular Leak; Each Additional Occlusion Device (List Separately In Addition To Code For Primary Procedure) |
| 93603-CPT | Moderate | Rt Ventricular Recording |
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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