CPT 93613 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 • 59 - Distinct Procedural Service • 26 - Professional component |
| Complexity Level | Moderate |
National average reimbursement for CPT 93613 by major payers:
$380.27
$453.01
$467.08
$519.69
| 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 93613 | ||||||
United | 93613 | $3908.00 | 1932125911 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF OB/GYN, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 93613 | $22639.00 | 1336119478 - COMMUNITY HEALTH NETWORK, INC, COMMUNITY HOSPITAL EAST | 350983617 - COMMUNITY HEALTH NETWORK INC | IN | General Acute Care Hospital (282N00000X) |
United | 93613 | $21011.00 | 1134166192 - ORTHOPEDIC HOSPITAL LTD, TEXAS ORTHOPEDIC HOSPITAL | 760418502 - (TX) ORTHOPEDIC HOSPITAL LTD | TX | General Acute Care Hospital (282N00000X) |
United | 93613 | $3677.00 | 1972728442 - JOHNSON MEMORIAL HOSPITAL, INC. | 475676956 - (CT) JOHNSON MEMORIAL HOSPITAL INC | CT | General Acute Care Hospital (282N00000X) |
United | 93613 | $14115.00 | 1922002674 - FRISCO MEDICAL CENTER LLP, BAYLOR SCOTT & WHITE MED CNTR - FRISCO | 752865177 - (TX) FRISCO MEDICAL CENTER LLP | TX | General Acute Care Hospital (282N00000X) |
United | 93613 | $1909.00 | 1861009672 - NORCAL HEALTHCONNECT LLC, HEALDSBURG HOSPITAL | 852390012 | CA | Critical Access Hospital (282NC0060X) |
United | 93613 | $517.00 | 1366852873 - NORTH BROWARD HOSPITAL DISTRICT, BROWARD HEALTH IMAGING | 596012065 - NORTH BROWARD HOSPITAL DISTRICT | FL | Radiology Clinic/Center (261QR0200X) |
United | 93613 | $14043.00 | 1700828852 - THE METROHEALTH SYSTEM, METROHEALTH MEDICAL CENTER | 346004382 | OH | General Acute Care Hospital (282N00000X) |
United | 93613 | $833.00 | 1831220714 - INOVA HEALTH CARE SERVICES, INOVA FAIRFAX HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
United | 93613 | $748.00 | 1164750840 - CENTRAL LOUISIANA SURGICAL HOSPITAL LLC, CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL | 264732898 - (LA) CENTRAL LOUISIANA SURGICAL HOSPITAL, LLC | LA | General Acute Care Hospital (282N00000X) |
United | 93613 | $1805.00 | 1790847002 - PACIFICA OF THE VALLEY CORPORATION, PACIFICA HOSPITAL OF THE VALLEY | 330737312 - (CA) PACIFICA OF THE VALLEY CORPORATION DBA | CA | General Acute Care Hospital (282N00000X) |
United | 93613 | $1191.00 | 1104819366 - CHILDREN'S HOSPITAL | 720467503 - CHILDRENS HOSPITAL INC | LA | Children's Hospital (282NC2000X) |
United | 93613 | $8742.00 | 1194122390 - PROVIDENCE ST. VINCENT MEDICAL CENTER | 930386929 - (OR) PROVIDENCE HEALTH & SERVICES OREGON | OR | General Acute Care Hospital (282N00000X) |
United | 93613 | $557.00 | 1063422053 - VALLEY MEDICAL FACILITIES INC, VALLEY MEDICAL FACILITIES INC DBA HERITAGE VALLEY BEAVER | 251801532 - (PA) HERITAGE VALLEY HEALTH SYSTEM | PA | General Acute Care Hospital (282N00000X) |
United | 93613 | $3166.00 | 1871606764 - GLENS FALLS HOSPITAL INC | 141338413 - ALBANY MED HEALTH SYSTEM | NY | 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 93613 vs. Other Cardiovascular Procedures Codes
The CPT 93613 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 93613 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 | 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 | Intra-Atrial Pacing |
| 93612-CPT | High | Intraventricular Pacing |
| 93613-CPT | Moderate | Intracardiac Electrophysiologic 3-Dimensional Mapping (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 93613. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93613 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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