CPT 93598 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 | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 59 - Distinct Procedural Service |
| Complexity Level | Low |
National average reimbursement for CPT 93598 by major payers:
$179.92
$97.31
$78.53
$1,957.75
| 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 93598 | ||||||
United | 93598 | $77.33 | 1598928079 - JOHN PARKS | 631119002 - (AL) BIRMINGHAM HEART CLINIC, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93598 | $123.23 | 1528599222 - THOMAS WOOL | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93598 | $0.02 | 1245587765 - ZAKARIA ALMUWAQQAT | 273818647 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93598 | $60.04 | 1275746992 - JAMES PROCTOR | 824122192 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93598 | $71.41 | 1679979603 - DALE RAILWAH | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93598 | $147.80 | 1164737490 - MOHAN EDUPUGANTI | 452867352 - INTEGRIS CARDIOVASCULAR PHYSICIANS LLC | MO | Interventional Cardiology Physician (207RI0011X) |
United | 93598 | $79.18 | 1912282948 - IMRAN KHALIL | 272239880 - (AL) WIREGRASS CLINIC LLC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93598 | $81.55 | 1932300571 - JIMMIE DOTSON | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93598 | $124.80 | 1356320873 - EAST TEXAS MEDICAL CENTER ATHENS | 751854562 - (TX) ETX SUCCESSOR ATHENS | TX | General Acute Care Hospital (282N00000X) |
United | 93598 | $206.00 | 1871599829 - WILSON COUNTY MEMORIAL HOSPITAL DISTRICT | 742019736 - (TX) WILSON COUNTY MEMORIAL HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 93598 | $99.84 | 1093753386 - WILLAMETTE COMMUNITY HEALTH SOLUTIONS, CASCADE HEALTH SOLUTIONS | 930421470 | OR | Community Based Hospice Care Agency (251G00000X) |
United | 93598 | $202.00 | 1508859612 - GONZALES HEALTHCARE SYSTEMS, MEMORIAL HOSPITAL | 741625013 | TX | General Acute Care Hospital (282N00000X) |
United | 93598 | $80.69 | 1346611829 - AMARI THOMAS | 300520570 - (TX) METHODIST HOSPITAL | TX | General Acute Care Hospital (282N00000X) |
United | 93598 | $75.06 | 1407191984 - BSA HOSPITAL LLC | 300754305 | TX | General Acute Care Hospital (282N00000X) |
United | 93598 | $2474.00 | 1942208616 - ST. LUKE'S COMMUNITY HEALTH SERVICES, ST. LUKE'S THE WOODLANDS HOSPITAL | 760536234 - (TX) ST LUKES COMMUNITY HEALTH SERVICES | TX | 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 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 For Congenital Heart Defect(S) Including Imaging Guidance By The Pro- Ceduralist To Advance The Catheter To The Target Zone; Normal Native Connections |
| 93596-CPT | High | Right And Left Heart Catheterization For Congeni- Tal 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 Catheterization For Congeni- Tal Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Abnormal Native Connections |
| 93598-CPT | Low | 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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