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See a sample rate comparisonCPT 93603 Fee Schedule
Last Verified: October 2026
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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $112.23 national non-facility rate (2026) · View Medicare rates for 93603 |
| Medicaid Fee Schedule | $110.15 median of the 7 states in the free preview · View Medicaid rates for 93603 |
National average reimbursement for CPT 93603 by major payers:
$424.69
$324.18
$226.78
$294.84
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CPT 93603
5 of 25 sample ratesHigher to lower in this preview
Yolanda Holler-Managan
Pediatric Faculty Foundation In
$410.41Published rateAsifa Choudhry
Carle West Physician Group Inc
$278.44Published rateMatthew Filippo
Advocate Health And Hospitals Corporation
$162.52Published rateThomas Wool
Montgomery Cardiovascular Associates, P.C.
$121.98Published rateYabiz Sedghi
Ashland Hospital Corporation
$67.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93603 vs. Other Cardiovascular Procedures Codes
The CPT 93603 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 93603 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 93603. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93603 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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