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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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $66.13 national non-facility rate (2026) · View Medicare rates for 93598 |
| Medicaid Fee Schedule | $53.20 median of the 5 states in the free preview · View Medicaid rates for 93598 |
National average reimbursement for CPT 93598 by major payers:

$179.92

$97.31

$78.53

$608.46
Choose a payer to see a sample of rates for CPT 93598.
Columbia Medical Center Of Denton Subsidiary Lp, Medical City Denton
Columbia Medical Center Of Denton Subsidiary Lp
North Houston, Hca Houston Healthcare Tomball
North Caddo Hospital Service District, North Caddo Medical Center
North Caddo Hospital Service District
Lynn County Hospital District
Zakaria Almuwaqqat
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Rate Benchmarking
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See a sample payer proposalCPT 93598 vs. Other Cardiovascular Procedures Codes
The CPT 93598 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 93598 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 |
| 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 |
| 93597-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) Abnormal Native Connections |
| 93598-CPT | Low | Car Outp Meas Drg Cath Chd, Cardiac Output Measurement S Thermodilution Or Other Indicator Dilution Method Performed During Cardiac Catheterization For The Evaluation Of Congenital Heart Defects List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93598. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93598 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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