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See a sample rate comparisonCPT 93594 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.
Right Heart Catheterization Fo, Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zoneabnormal Native Connections
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $286.91 national non-facility rate (2026) · View Medicare rates for 93594 |
| Medicaid Fee Schedule | $229.93 median of the 6 states in the free preview · View Medicaid rates for 93594 |
National average reimbursement for CPT 93594 by major payers:
$1,314.85
$408.22
$2,625.37
$870.83
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CPT 93594
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Health System, Memorial Hermann Hospital
Memorial Hermann Health System
$19,107.00Published rateMethodist Healthcare System Of San Antonio Ltd LLP, Methodist Specialty And Transplant Hospital
$10,308.00Published rateVille Platte Medical Center
$6,164.00Published rateLuis Bowen
Healthtexas Provider Network
$541.29Published rateEast Texas Medical Center Athens
Etx Successor Athens
$0.01Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93594 vs. Other Cardiovascular Procedures Codes
The CPT 93594 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 93594 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 |
|---|---|---|
| 93593-CPT | Moderate | Right Heart Catheterization Fo, Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zonenormal Native Connections |
| 93594-CPT | High | Right Heart Catheterization Fo, Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zoneabnormal Native Connections |
| 93595-CPT | High | Left Heart Catheterization For, Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone Normal Or Abnormal Native Connections |
| 93596-CPT | High | Right And Left Heart Catheteri, Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S) Normal Native Connections |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93594. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93594 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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