CPT 93650 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 • 51 - Multiple procedures • 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
National average reimbursement for CPT 93650 by major payers:
$766.30
$801.78
$835.15
$944.38
| 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 93650 | ||||||
United | 93650 | $16123.00 | 1598181091 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | General Acute Care Hospital (282N00000X) |
United | 93650 | $14095.00 | 1144286402 - COMMUNITY MERCY HEALTH PARTNERS, MERCY HEALTH - SPRINGFIELD REGIONAL MEDICAL CENTER | 310785684 - COMMUNITY MERCY HEALTH PARTNERS | OH | General Acute Care Hospital (282N00000X) |
United | 93650 | $17022.00 | 1477583334 - NEW MEDICAL HORIZONS II, LTD., CYPRESS FAIRBANKS MEDICAL CENTER HOSPITAL | 742129954 - (TX) NEW MEDICAL HORIZONS II LTD | TX | General Acute Care Hospital (282N00000X) |
United | 93650 | $48159.00 | 1275566200 - BANNER ESTRELLA MEDICAL CENTER | 900065118 - (AZ) BANNER ESTRELLA MEDICAL CENTER | AZ | General Acute Care Hospital (282N00000X) |
United | 93650 | $2252.00 | 1831183748 - HOMER MEMORIAL HOSPITAL, CLAIBORNE MEMORIAL MEDICAL CENTER | 720396868 - (LA) HOMER MEMORIAL HOSPITAL | LA | General Acute Care Hospital (282N00000X) |
United | 93650 | $23486.00 | 1376733519 - METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO LTD LLP, NORTHEAST METHODIST HOSPITAL | 742730328 | TX | General Acute Care Hospital (282N00000X) |
United | 93650 | $3094.00 | 1285634006 - FREDONIA REGIONAL HOSPITAL | 481005740 - (KS) FREDONIA REGIONAL HOSPITAL | KS | Critical Access Hospital (282NC0060X) |
United | 93650 | $4742.00 | 1770678617 - CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY, ERLANGER BLEDSOE | 626000101 - ERLANGER MEDICAL CENTER | TN | Critical Access Hospital (282NC0060X) |
United | 93650 | $7092.00 | 1609007525 - BELLEVUE MEDICAL CENTER LLC, BELLEVUE MEDICAL CENTER - NEBRASKA MEDICINE | 204305186 - (NE) BELLEVUE MEDICAL CENTER LLC | NE | General Acute Care Hospital (282N00000X) |
United | 93650 | $9748.00 | 1871911016 - NORTH TEXAS, MEDICAL CITY ALLIANCE | 464027347 - (TX) NORTH TEXAS | TX | General Acute Care Hospital (282N00000X) |
United | 93650 | $5000.00 | 1700471497 - SSM HEALTH CARE OF OKLAHOMA, INC | 730657693 - SSM HEALTH CARE OF OKLAHOMA INC | OK | General Acute Care Hospital (282N00000X) |
United | 93650 | $27755.00 | 1497726343 - HILL COUNTRY MEMORIAL HOSPITAL | 742730328 | TX | General Acute Care Hospital (282N00000X) |
United | 93650 | $5410.00 | 1518454842 - ROCK REGIONAL HOSPITAL, LLC, ROCK REGIONAL HOSPITAL | 814594719 - (KS) ROCK REGIONAL HOSPITAL LLC | KS | General Acute Care Hospital (282N00000X) |
United | 93650 | $16057.00 | 1225275928 - RIVERVIEW HOSPITAL, RIVERVIEW HEALTH | 351128943 - RIVERVIEW HOSPITAL | IN | General Acute Care Hospital (282N00000X) |
United | 93650 | $19877.00 | 1023061405 - AFFINITY HOSPITAL LLC, GRANDVIEW MEDICAL CENTER | 203391873 | AL | 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 93650 vs. Other Cardiovascular Procedures Codes
The CPT 93650 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 93650 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-CPT | 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-CPT | 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-CPT | Moderate | Intracardiac Catheter Ablation Of Atrioventricular Node Function Atrioventricular Conduction For Creation Of Complete Heart Block With Or Without Temporary Pacemaker Placement |
| 93653-CPT | 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 93650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93650 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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