CPT 93644 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 • 26 - Professional component • 51 - Multiple procedures |
| Complexity Level | Moderate |
National average reimbursement for CPT 93644 by major payers:
$259.62
$319.32
$278.94
$371.15
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
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CPT 93644 vs. Other Cardiovascular Procedures Codes
The CPT 93644 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 93644 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 |
|---|---|---|
| 93642 | Moderate | Electrophysiologic Evaluation Of Single Or Dual Chamber Transvenous Pacing Cardioverter-Defibrillator (Includes Defibrillation Threshold Evaluation Induction Of Arrhythmia Evaluation Of Sensing And Pacing For Arrhythmia Termination And Pro- Gramming Or Reprogramming Of Sensing Or Thera- Peutic Parameters) (Desc Revised 01/01/15) |
| 93644 | Moderate | Electrophysiologic Evaluation Of Subcutaneous Implantable Defibrillator (Includes Defibrillationthreshold Evaluation Induction Of Arrhythmia Evaluation Of Sensing For Arrhythmia Termination And Programming Or Reprogramming Of Sensing Or Therapeutic Parameters) |
| 93650 | Moderate | Intracardiac Catheter Ablation Of Atrioventricular Node Function Atrioventricular Conduction For Creation Of Complete Heart Block With Or Without Temporary Pacemaker Placement |
| 93653 | High | Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of Multiple Electrode Catheters Induction Or Attempted Induction Of An Arrhythmia With Right Atrial Pacing And Recording And Catheter Ablation Of Arrhythmogenic Focus Including Intracardiac Electrophysiologic 3-Dimensional Mapping Right Ventricular Pacing A And Recording Left Atrial Pacing And Recording From Coronary Sinus Or Left Atrium And His Bundlerecording When Performed; With (Desc Rvsd 1/1/22) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93644. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93644 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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Medicare Reimbursement Lookup Tool
Medicare localities are geographic regions used to adjust reimbursement rates based on local costs. Rates vary by locality to reflect differences in wages, rent, and other expenses. Sign up to see commercial rates (United/BCBS/Cigna/Aetna)
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| Year | Billing Code | Locality | Non-Facility Fee | Facility Fee |
|---|