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See a sample rate comparisonCPT 93640 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.
Ep Eval 1/2chmbr Pacg Cvdfb, Electrophysiologic Evaluation Of Single Or Dual Chamber Pacing Cardioverter-Defibrillator Leads Including Defibrillation Threshold Evaluation (Induction Of Arrhythmia Evaluation Of Sensing And Pacing For Arrhythmia Termination) At Time Of Initial Implantation Or Replacement;
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $172.35 national non-facility rate (2026) · View Medicare rates for 93640 |
| Medicaid Fee Schedule | $215.935 median of the 6 states in the free preview · View Medicaid rates for 93640 |
National average reimbursement for CPT 93640 by major payers:
$433.56
$631.31
$519.49
$755.14
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CPT 93640
5 of 25 sample ratesHigher to lower in this preview
Divya Desai
Pediatric Faculty Foundation In
$1,308.56Published rateFaraaz Fakih
Northwestern Memorial Healthcare
$801.41Published rateAbdullah Bin Mahfodh
Community Home Physicians LLC D/B/A Community Physicians
$583.83Published rateColleen Buhrfiend
Pediatric Faculty Foundation In
$448.22Published rateLauren Prest
$270.83Published rate
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See a sample payer proposalCPT 93640 vs. Other Cardiovascular Procedures Codes
The CPT 93640 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 93640 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 |
|---|---|---|
| 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 |
| 93620-CPT | High | Comprehensive Electrophysiologic Evaluation Including Insertion And Repositioning Of Multiple Electrode Catheters With Induction Or Attempted Induction Of Arrhythmia; With Right Atrial Pacing And Recording Right Ventricular Pacing And Recording His Bundle Recording (Desc Rev 01/01/03) |
| 93640-CPT | Moderate | Ep Eval 1/2chmbr Pacg Cvdfb, Electrophysiologic Evaluation Of Single Or Dual Chamber Pacing Cardioverter-Defibrillator Leads Including Defibrillation Threshold Evaluation (Induction Of Arrhythmia Evaluation Of Sensing And Pacing For Arrhythmia Termination) At Time Of Initial Implantation Or Replacement; |
| 93641-CPT | Moderate | Electrophysiology Evaluation, Electrophysiologic Evaluation Of Single Or Dual Chamber Pacing Cardioverter Defibrillator Leads Including Defibrillation Threshold Evaluation Induction Of Arrhythmia Evaluation Of Sensing And Pacing For Arrhythmia Termination At Time Of Initial Implantation Or Replacement With Testing Of Single Or Dual Chamber Pacing Cardioverter Defibrillator Pulse Generator |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93640. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93640 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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