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 |
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 | $1013.00 | 1306868682 - CAMDEN GENERAL HOSPITAL, CAMDEN ER | 581884314 - (TN) CAMDEN GENERAL HOSPITAL | TN | 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 | $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 | $264.54 | 1275906927 - PREMIERE IMAGING AND OPEN MRI INC, PREMIERE IMAGING AND OPEN MRI INC | 472034029 - (IL) PREMIERE IMAGING AND OPEN MRI INC | IL | Radiology Clinic/Center (261QR0200X) |
United | 93657 | $2126.00 | 1205816725 - MERCY MEDICAL CENTER-DYERSVILLE, MERCYONE DYERSVILLE MEDICAL CENTER | 202552602 - (IA) MERCY MEDICAL CENTERDYERSVILLE | IA | Critical Access Hospital (282NC0060X) |
United | 93657 | $22931.00 | 1831170232 - GOTTLIEB MEMORIAL HOSPITAL | 362379649 - (IL) GOTTLIEB MEMORIAL HOSPITAL | IL | General Acute Care Hospital (282N00000X) |
United | 93657 | $415.00 | 1790785913 - TRINITAS REGIONAL MEDICAL CENTER, TRINITAS HOSPITAL - AMBULANCE | 223601678 - (NJ) RWJ BARNABAS HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93657 | $705.00 | 1821087164 - LUBBOCK COUNTY HOSPITAL DISTRICT, UNIVERSITY MEDICAL CENTER | 751301362 - LUBBOCK COUNTY HOSPITAL DISTRICT | TX | General Acute Care Hospital (282N00000X) |
United | 93657 | $1265.00 | 1093716979 - DEKALB MEDICAL CENTER, INC., EMORY DECATUR HOSPITAL | 581966795 - (GA) EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
United | 93657 | $14399.00 | 1447639398 - SAINT THOMAS STONES RIVER HOSPITAL, LLC, ASCENSION SAINT THOMAS STONES RIVER | 474063232 | TN | General Acute Care Hospital (282N00000X) |
United | 93657 | $2411.00 | 1528075108 - FRANKLIN HOSPITAL | 112241326 - LONG ISLAND JEWISH MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 93657 | $9225.00 | 1801946090 - PATIENT FIRST CT, LLC, RESPONSE DIAGNOSTIC IMAGING | 203443100 - (VA) PATIENT FIRST CT LLC | VA | Radiology Clinic/Center (261QR0200X) |
United | 93657 | $2414.00 | 1801059415 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | General Acute Care Hospital (282N00000X) |
United | 93657 | $1051.00 | 1811987084 - RHEA MEDICAL CENTER, RHEA COUNTY HOSPITAL | 626014528 - (TN) RHEA MEDICAL CENTER | TN | Critical Access Hospital (282NC0060X) |
United | 93657 | $24061.00 | 1861609208 - NORTHWESTERN MEMORIAL HOSPITAL | 370960170 - (IL) NORTHWESTERN MEMORIAL HOSPITAL | IL | 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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