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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 | 76 - Repeat procedure by same physician 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $260.86 national non-facility rate (2026) · View Medicare rates for 93657 |
| Medicaid Fee Schedule | $203.30 median of the 8 states in the free preview · View Medicaid rates for 93657 |
National average reimbursement for CPT 93657 by major payers:

$497.93

$584.33

$504.93

$588.72
Choose a payer to see a sample of rates for CPT 93657.
Banner Baywood Medical Center
Advocate Health And Hospitals Corporation, Advocate South Suburban Hospital
Advocate Health And Hospitals Corporation
Miami County Medical Center Inc, Miami County Medical Center
Miami County Medical Center Inc
Sonoma Valley Health Care District, Sonoma Valley Hospital
Sonoma Valley Health Care District
Kansas Medical Center LLC
Kansas Medical Center, LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 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 | Icar Cath Abltj Dscrt Arrhyt, Intracardiac Catheter Ablation Of A Discrete Mechanism Of Arrhythmia Which Is Distinct From The Primary Ablated Mechanism Including Repeat Diagnostic Maneuvers To Treat A Spontaneous Or Induced Arrhythmia List Separately In Addition To Code For Primary Procedure |
| 93656-CPT | High | Compre Ep Eval Abltj Atr Fib, Comprehensive Electrophysiologic Evaluation Including Transseptal Catheterizations Insertion And Repositioning Of Multiple Electrode Catheters With Intracardiac Catheter Ablation Of Atrial Fibrillation By Pulmonary Vein Isolation Including 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 Recording Right Ventricular Pacing Recording And His Bundle Recording When Performed |
| 93657-CPT | Moderate | Tx L/R Atrial Fib Addl, Additional Linear Or Focal Intracardiac Catheter Ablation Of The Left Or Right Atrium For Treatment Of Atrial Fibrillation Remaining After Completion Of Pulmonary Vein Isolation (List Separately In Addition To Code For Primary Procedure) |
| 93660-CPT | Low | Evaluation Of Cardiovascular F, Evaluation Of Cardiovascular Function With Tilt Table Evaluation With Continuous Ecg Monitoring Andintermittent Blood Pressure Monitoring With Or W Ithout 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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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.