CPT 93655 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 • 59 - Distinct Procedural Service • GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
National average reimbursement for CPT 93655 by major payers:
$497.55
$584.45
$514.27
$592.66
| 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 93655 | ||||||
United | 93655 | $355.66 | 1174078281 - DERMATOLOGY AND SKIN CANCER SURGERY CENTER, LLC, ORLANDO DERMATOLOGY CENTER | 208048424 - (FL) DERMATOLOGY AND SKIN CANCER SURGERY CENTER LLC | FL | Dermatology Physician (207N00000X) |
United | 93655 | $991.00 | 1548284177 - WESTCHESTER GENERAL HOSPITAL, INC., KERALTY HOSPITAL | 591201323 - (FL) WESTCHESTER GENERAL HOSPITAL, INC. | FL | General Acute Care Hospital (282N00000X) |
United | 93655 | $32665.00 | 1023065794 - CHCA WOMANS HOSPITAL LP, WOMAN'S HOSPITAL OF TEXAS | 621810381 - (TX) CHCA WOMANS HOSPITAL LP | TX | General Acute Care Hospital (282N00000X) |
United | 93655 | $1107.00 | 1851390967 - UHS OF TEXOMA, INC, TEXOMA MEDICAL CENTER | 205908627 - UHS OF TEXOMA INC | TX | General Acute Care Hospital (282N00000X) |
United | 93655 | $535.00 | 1184132524 - PITTSBURG HOSPITAL LLC | 823953636 | TX | Critical Access Hospital (282NC0060X) |
United | 93655 | $1880.00 | 1003344334 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE HORIZON CITY CAMPUS | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 93655 | $518.00 | 1013052976 - ST. JOSEPH HEALTH SERVICES OF RI, WOUND CARE GROUP | 464661337 | RI | General Acute Care Hospital (282N00000X) |
United | 93655 | $832.00 | 1700801909 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 93655 | $2884.00 | 1497765630 - ST. CHARLES HOSPITAL CORP. | 111871039 - (NY) ST CHARLES HOSPITAL CORP | NY | General Acute Care Hospital (282N00000X) |
United | 93655 | $5452.00 | 1730134123 - RIVERVIEW REGIONAL MEDICAL CENTER LLC, RIVERVIEW REGIONAL MEDICAL CENTER | 472228529 | AL | General Acute Care Hospital (282N00000X) |
United | 93655 | $395.00 | 1295777324 - LONE STAR HMA L P, DALLAS REGIONAL MEDICAL CENTER | 472177648 | TX | General Acute Care Hospital (282N00000X) |
United | 93655 | $3742.00 | 1992916837 - ST,MARY,MEDICAL,CENTRE, NONE | 231913910 - (PA) ST MARY MEDICAL CENTER | PA | General Acute Care Hospital (282N00000X) |
United | 93655 | $648.00 | 1710913140 - PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON, ISLAND HOSPITAL | 910729255 - (WA) PUBLIC HOSPITAL DISTRICT NO 2 | WA | General Acute Care Hospital (282N00000X) |
United | 93655 | $194.00 | 1992812382 - PROFESSIONAL RESOURCES MANAGEMENT, INC., BULLOCK COUNTY HOSPITAL | 631070858 | AL | Rural Acute Care Hospital (282NR1301X) |
United | 93655 | $252.00 | 1679578439 - MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER, CHRISTUS MOTHER FRANCES HOSPITAL TYLER | 750818167 - (TX) MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER | TX | 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 93655 vs. Other Cardiovascular Procedures Codes
The CPT 93655 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 93655 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 |
|---|---|---|
| 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) |
| 93654-CPT | High | Comprehensive Electrophysiologic Evaluation With Insertion And Repositioning Of Multiple Electrode Catheters With 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 (Desc Rvsd 1/1/22) |
| 93655-CPT | Moderate | Intracardiac Catheter Ablation Of A Discrete Mechanism Of Arrhythmia Which Is Distinct From From The Primary Ablated Mechanism Including Repeat Diagnostic Maneuvers To Treat A Spontaneous Or Induced Arrhythmia (List Separatelyaddition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93655. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93655 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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