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 |
| Medicare Fee Schedule | View Medicare rates for 93592 |
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 | $1409.00 | 1801299375 - OCHSNER MEDICAL CENTER, OCHSNER MEDICAL COMPLEX - RIVER PARISHES | 205432782 | LA | Critical Access Hospital (282NC0060X) |
United | 93592 | $704.00 | 1477591055 - THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION | 581588823 - THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION | NC | General Acute Care Hospital (282N00000X) |
United | 93592 | $1385.00 | 1528101284 - DIGNITY HEALTH, ST. ROSE DOMINICAN HOSPITAL, SAN MARTIN CAMPUS | 880059427 - (NV) DIGNITY HEALTH | NV | General Acute Care Hospital (282N00000X) |
United | 93592 | $2174.00 | 1174706576 - LUTHERAN MUSCULOSKELETAL CENTER LLC, THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWORK | 261483076 - (IN) LUTHERAN MUSCULOSKELETAL CENTER LLC | IN | General Acute Care Hospital (282N00000X) |
United | 93592 | $8527.00 | 1073718219 - CEDARS-SINAI MEDICAL CENTER | 951644600 - CEDARS-SINAI MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 93592 | $409.00 | 1215965249 - COVINGTON COUNTY HOSPITAL | 646001549 | MS | Critical Access Hospital (282NC0060X) |
United | 93592 | $1824.00 | 1720033947 - ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP, HEART HOSPITAL OF AUSTIN | 742781812 | TX | 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 | $2158.00 | 1629038336 - SENTARA HOSPITALS, SENTARA VIRGINIA BEACH GENERAL HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 93592 | $3828.00 | 1770515991 - GOOD SAMARITAN MEDICAL CENTER, INC., GOOD SAMARITAN MEDICAL CENTER | 752932824 | FL | 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 | $157.00 | 1285685727 - DICKENSON COMMUNITY HOSPITAL, INC. | 770599553 - DICKENSON COMMUNITY HOSPITAL INC | VA | Critical Access Hospital (282NC0060X) |
United | 93592 | $1649.00 | 1730123175 - ST FRANCIS HOSPITAL INC, ST. FRANCIS-DOWNTOWN | 582504530 - (SC) ST FRANCIS HOSPITAL INC | SC | General Acute Care Hospital (282N00000X) |
United | 93592 | $1049.00 | 1215914254 - JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC. | 730606129 - JANE PHILLIPS MEMORIAL MEDICAL CENTER INC | OK | General Acute Care Hospital (282N00000X) |
United | 93592 | $1623.00 | 1922177229 - PRESENCE CHICAGO HOSPITALS NETWORK, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER | 362235165 - (IL) PRESENCE CHICAGO HOSPITALS NETWORK | 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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