CPT 93602 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 | Intracardiac Electrophysiological Procedures/Studies Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | 26 - Professional component None 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 93602 |
National average reimbursement for CPT 93602 by major payers:
$969.85
$294.11
$184.76
$256.18
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 93602 | $341.54 | 1033347125 - DAVID HANRAHAN | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | CA | Psychiatry Physician (2084P0800X) |
United | 93602 | $326.76 | 1679526784 - ELTON SMITH | 910844563 | VA | Psychiatry Physician (2084P0800X) |
United | 93602 | $83.63 | 1710206545 - NEIL JARIWALA | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IN | Psychiatry Physician (2084P0800X) |
United | 93602 | $149.75 | 1053722413 - WILLIAM BLACK | 383976603 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93602 | $247.47 | 1861831067 - JAMES GLADDEN | 630889615 - (AL) CARDIOLOGY ASSOCIATES OF MOBILE, INC. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 93602 | $332.80 | 1952387318 - MELANY DANEHY | 911780074 | IL | Psychiatry Physician (2084P0800X) |
United | 93602 | $332.80 | 1699194480 - JONATHAN KAPLAN | 911780160 | GA | Psychiatry Physician (2084P0800X) |
United | 93602 | $204.50 | 1306340880 - GEORGE GIANAKAKOS | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Psychiatry Physician (2084P0800X) |
United | 93602 | $261.63 | 1871592881 - CHANDRAGUPTA VEDAK | 363994258 - (IL) HORIZONS BEHAVIORAL HEALTH LLC | IL | Psychiatry Physician (2084P0800X) |
United | 93602 | $58.29 | 1508026972 - YANA OSKIN | 366006541 - (IL) VETERANS ASSISTANCE COMMISSION C | IL | Psychiatry Physician (2084P0800X) |
United | 93602 | $222.38 | 1609239243 - MEGAN GINSBURG | 362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION | IL | Psychiatry Physician (2084P0800X) |
United | 93602 | $403.11 | 1205957198 - BILAL AIJAZ | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Interventional Cardiology Physician (207RI0011X) |
United | 93602 | $60.81 | 1407848286 - ELIZABETH MIRKIN | 363305449 - (IL) MOUNT SINAI COMMUNITY FOUNDATION | IL | Psychiatry Physician (2084P0800X) |
United | 93602 | $332.80 | 1932130325 - ELIZABETH BERRY-KRAVIS | 911780160 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93602 | $296.32 | 1134236565 - WARREN KAMMERER | 611549647 - (IL) WARREN KAMMERER MD SC | IL | Psychiatry Physician (2084P0800X) |
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 93602 vs. Other Cardiovascular Procedures Codes
The CPT 93602 code is part of the Intracardiac Electrophysiological Procedures/Studies 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 93602 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 |
|---|---|---|
| 93600-CPT | High | Recording Of Heart Activity, A Recording Of Electrical Activity Inside The Heart Generally Is Focused On A Specific Area That Affects The Speed And Regularity Of The Heart Rhythm. Areas Commonly Evaluated Include The Upper And Lower Chambers And A Part Of The Wall In Between. |
| 93602-CPT | Moderate | Recording Of Heart Activity, A Recording Of Electrical Activity Inside The Heart Generally Is Focused On A Specific Area That Affects The Speed And Regularity Of The Heart Rhythm. Areas Commonly Evaluated Include The Upper And Lower Chambers And A Part Of The Wall In Between. |
| 93603-CPT | Moderate | Recording Of Heart Activity, A Recording Of Electrical Activity Inside The Heart Generally Is Focused On A Specific Area That Affects The Speed And Regularity Of The Heart Rhythm. Areas Commonly Evaluated Include The Upper And Lower Chambers And A Part Of The Wall In Between. |
| 93613-CPT | Moderate | Test Of Heartbeat Rate, A 3-D Image Is Created Based On Results From An Electrical Activity And Conduction Test. The Test Is Done To Assess A Fast Or Slow Heartbeat. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93602. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93602 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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