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See a sample rate comparisonHealthcare 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 | 51 - Multiple procedures 58 - Staged or related procedure during postoperative period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $497.01 national non-facility rate (2026) · View Medicare rates for 93650 |
| Medicaid Fee Schedule | $388.00 median of the 8 states in the free preview · View Medicaid rates for 93650 |
National average reimbursement for CPT 93650 by major payers:

$766.30

$801.78

$835.15

$940.91
Choose a payer to see a sample of rates for CPT 93650.
Northern Utah Healthcare Corporation, St. Mark'S Hospital
Affinity Hospital LLC, Grandview Medical Center
Memorial Health System, Memorial Hospital Phys Group
Uch-Mhs
St Marys Hospital
Wyckoff Heights Medical Center
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 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 | Electrophysiology Evaluation, 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 Programming Or Reprogramming Of Sensing Or Therapeutic Parameters |
| 93644-CPT | Moderate | Electrophysiology Evaluation, Electrophysiologic Evaluation Of Subcutaneous Implantable Defibrillator Includes Defibrillation Threshold 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, Intracardiac Catheter Ablation Of Atrioventricularnode Function Atrioventricular Conduction For Cr Eation Of Complete Heart Block With Or Without Temporary Pacemaker Placement |
| 93653-CPT | High | Compre Ep Eval Tx Svt, 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 And Recording Left Atrial Pacing And Recording From Coronary Sinus Or Left Atrium And His Bundle Recording When Performed With Treatment Of Supraventricular Tachycardia By Ablation Of Fast Or Slow Atrioventricular Pathway Accessory Atrioventricular Connection Cavo Tricuspid Isthmus Or Other Single Atrial Focus Or Source Of Atrial Re Entry |
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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