CPT 93657 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 • 76 - Repeat procedure by same physician • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 93657 |
National average reimbursement for CPT 93657 by major payers:
$497.93
$584.33
$504.93
$592.75
| 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 93657 | ||||||
United | 93657 | $10536.00 | 1306817978 - SALEM HOSPITAL CORPORATION, MEMORIAL HOSPITAL OF SALEM COUNTY | 210634484 - (NJ) INSPIRA MEDICAL CENTERS INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93657 | $1331.00 | 1285681841 - ROH LLC, MERIT HEALTH WOMEN'S HOSPITAL | 640780035 | MS | Women's Hospital (282NW0100X) |
United | 93657 | $395.00 | 1144236571 - INTEGRIS BASS BAPTIST HEALTH CENTER, INTEGRIS BASS BAPTIST HEALTH CENTER | 730612674 | OK | General Acute Care Hospital (282N00000X) |
United | 93657 | $535.00 | 1477061885 - QUITMAN HOSPITAL LLC | 823817196 | TX | Critical Access Hospital (282NC0060X) |
United | 93657 | $2649.00 | 1306119730 - VARIETY CHILDREN'S HOSPITAL, NICKLAUS CHILDREN'S MIAMI LAKES OUTPATIENT CENTER | 590638499 - (FL) VARIETY CHILDRENS HOSPITAL | FL | General Acute Care Hospital (282N00000X) |
United | 93657 | $1749.00 | 1174980692 - PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET SURGERY CENTER | 410132080 - (MN) PARK NICOLLET HEALTH SERVICES | MN | General Acute Care Hospital (282N00000X) |
United | 93657 | $881.79 | 1700352374 - BON SECOURS DIAGNOSTIC IMAGING, ST. FRANCIS MILLENNIUM | 832087782 - BON SECOURS DIAGNOSTIC IMAGING | SC | Radiology Clinic/Center (261QR0200X) |
United | 93657 | $1631.00 | 1013616226 - AHS HOSPITAL CORP, OVERLOOK MEDICAL CENTER | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93657 | $1590.00 | 1225156888 - AURORA HEALTH CARE SOUTHERN LAKES, INC., AURORA MEDICAL CENTER KENOSHA | 390806347 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 93657 | $3908.00 | 1396760989 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF SURGERY, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 93657 | $1316.00 | 1710063870 - SONOMA VALLEY HEALTH CARE DISTRICT, SONOMA VALLEY HOSPITAL | 946001317 - SONOMA VALLEY HEALTH CARE DISTRICT | CA | General Acute Care Hospital (282N00000X) |
United | 93657 | $1954.00 | 1912992215 - NORTHERN WESTCHESTER HOSPITAL ASSOCIATION, NORTHERN WESTCHESTER HOSPITAL | 131740118 - (NY) NORTHERN WESTCHESTER HOSPITAL ASSOCIATION | NY | General Acute Care Hospital (282N00000X) |
United | 93657 | $14239.00 | 1780643411 - PIEDMONT MOUNTAINSIDE HOSPITAL, INC., PIEDMONT MOUNTAINSIDE HOSPITAL | 352228583 - (GA) PIEDMONT MOUNTAINSIDE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 93657 | $1424.00 | 1225023179 - GILA RIVER HEALTH CARE CORPORATION, HU HU KAM MEMORIAL HOSPITAL | 860810876 - (AZ) GILA RIVER HEALTH CARE CORPORATION | AZ | Critical Access Hospital (282NC0060X) |
United | 93657 | $1400.00 | 1225361181 - DILEY RIDGE MEDICAL CENTER | 342032340 - (OH) DILEY RIDGE MEDICAL CENTER | OH | 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 93657 vs. Other Cardiovascular Procedures Codes
The CPT 93657 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 93657 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 |
|---|---|---|
| 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) |
| 93656-CPT | High | Comprehensive Electrophysiologic Evaluation Including Transseptal Catheterizations Insertion And Repositioning Of Multiple Electrode Catheters With Intracardiac Catheter Ablation Of Atrial Fibrillation By Pulmonary Vein Isolation Includ- Ing Intracardiac Electrophysiologic 3-Dimensional Mapping Intracardiac Echocardiography Including Imaging Supervision And Interpretation Induction Or Attempted Induction Of An Arrhythmia Including Left Or Right Atrial Pacing/ (Desc Rvsd 1/1/22) |
| 93657-CPT | Moderate | Additional Linear Or Focal Intracardiac Catheter Ablation Of The Left Or Right Atrium For Treatmentof Atrial Fibrillation Remaining After Completion Of Pulmonary Vein Isolation (List Separately In Addition To Code For Primary Procedure) |
| 93660-CPT | Low | Evaluation Of Cardiovascular Function With Tilt Table Evaluation With Continuous Ecg Monitoring And Intermittent Blood Pressure Monitoring With Or Without Pharmacological Intervention |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93657. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93657 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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