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See a sample rate comparisonCPT 93612 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.
Heart Pacing Treatment, Wires Are Guided Through A Leg Blood Vessel Into Either The Two Upper (Atrium) Or Two Lower (Ventricle) Chambers In The Heart. These Control The Heart Rhythm (Contractions) So That Blood Flows Properly.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | $156.98 national non-facility rate (2026) · View Medicare rates for 93612 |
| Medicaid Fee Schedule | $157.69 median of the 7 states in the free preview · View Medicaid rates for 93612 |
National average reimbursement for CPT 93612 by major payers:
$1,350.20
$382.75
$259.98
$360.68
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CPT 93612
5 of 25 sample ratesHigher to lower in this preview
Divakar Mithal
Pediatric Faculty Foundation In
$512.21Published rateCarolyn Doyle
Loyola University Medical Center
$334.48Published rateMohamed Katerji
Katerji Pediatric Neurology Assoc
$256.54Published rateEdwin Meresh
Loyola University Medical Center
$147.47Published rateClint Anthony
District Medical Group Inc
$55.95Published rate
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See a sample payer proposalCPT 93612 vs. Other Cardiovascular Procedures Codes
The CPT 93612 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 93612 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 |
|---|---|---|
| 93609-CPT | Moderate | Intra-Vntr Mapg Tchycar Site, Intraventricular And/Or Intra-Atrial Mapping Of Tachycardia Site(S) With Catheter Manipulation To Record From Multiple Sites To Identify Origin Of Tachycardia (List Separately In Addition To Code For Primary Procedure) |
| 93610-CPT | High | Heart Pacing Treatment, Wires Are Guided Through A Leg Blood Vessel Into Either The Two Upper (Atrium) Or Two Lower (Ventricle) Chambers In The Heart. These Control The Heart Rhythm (Contractions) So That Blood Flows Properly. |
| 93612-CPT | High | Heart Pacing Treatment, Wires Are Guided Through A Leg Blood Vessel Into Either The Two Upper (Atrium) Or Two Lower (Ventricle) Chambers In The Heart. These Control The Heart Rhythm (Contractions) So That Blood Flows Properly. |
| 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 93612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93612 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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