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See a sample rate comparisonCPT 93631 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.
Surgery For Fast Heartbeat, At The Start Of A Surgery To Correct A Heart Rhythm This Procedure Pinpoints The Problem Area. Pacing Wires Stimulate The Heart Directly And Electrical Activity Is Mapped With A Computer.
| 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 | Moderate |
| Medicare Fee Schedule | $399.14 national non-facility rate (2026) · View Medicare rates for 93631 |
| Medicaid Fee Schedule | $653.64 median of the 5 states in the free preview · View Medicaid rates for 93631 |
National average reimbursement for CPT 93631 by major payers:
$666.21
$1,196.92
$605.15
$1,692.65
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CPT 93631
5 of 25 sample ratesHigher to lower in this preview
Jessica Nicholson
Advocate Health And Hospitals Corporation
$3,616.26Published rateJoseph Cooper
The Board Of Trustees Of The University Of Illinois
$2,717.69Published rateChristopher Raio
St Joseph Hospital
$1,560.77Published rateAnita Pairitz
Loyola University Medical Center
$839.55Published rateJohn Millichap
Grady Memorial Hospital Corporation
$338.76Published rate
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See a sample payer proposalCPT 93631 vs. Other Cardiovascular Procedures Codes
The CPT 93631 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 93631 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 |
|---|---|---|
| 93616-CPT | Moderate | Heart Test With Probe, This Heart Test Inserts A Probe To Measure Activity Such As Flow Of Blood Through The Valves And Chambers Ability Of The Muscle To Pump (Volume) And Valve Openings And Closings. Sometimes Electrical Activity Is Recorded As Well. |
| 93618-CPT | Moderate | Induced Irregular Heart Rate, Pacing Wires (Electrodes) Are Attached To The Skin To Send An Electrical Signal To The Heart. This Signal Causes An Irregularity In The Rhythm Of The Heartbeat. This Is An Evaluation Of Heart Function. |
| 93619-CPT | High | Electrophysiology Evaluation, Comprehensive Electrophysiologic Evaluation With Right Atrial Pacing And Recording Right Ventricular Pacing And Recording His Bundle Recording Including Insertion And Repositioning Of Multiple Electrode Catheters Without Induction Or Attempted Induction Of Arrhythmia |
| 93631-CPT | Moderate | Surgery For Fast Heartbeat, At The Start Of A Surgery To Correct A Heart Rhythm This Procedure Pinpoints The Problem Area. Pacing Wires Stimulate The Heart Directly And Electrical Activity Is Mapped With A Computer. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93631. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93631 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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