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See a sample rate comparisonCPT 93745 Fee Schedule
Last Verified: September 2026
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.
Set Up Cardiovert Defibrill, Initial Set Up And Programming By A Physician Or Other Qualified Health Care Professional Of Wearable Cardioverter Defibrillator Includes Initial Programming Of System Establishing Baseline Electronic Ecg Transmission Of Data To Data Repository Patient Instruction In Wearing System And Patient Reporting Of Problems Or Events
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93745 |
| Medicaid Fee Schedule | View Medicaid rates for 93745 |
National average reimbursement for CPT 93745 by major payers:
$179.43
$109.61
$95.45
$186.93
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CPT 93745
5 of 25 sample ratesHigher to lower in this preview
Laura Vernon
Pediatric Faculty Foundation In
$212.03Published rateSonam Verma
$158.36Published rateVictor Patron Romero
$100.55Published rateJohn Millichap
$79.05Published rateMichael Bednarz
Veterans Assistance Commission C
$28.50Published rate
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See a sample payer proposalCPT 93745 vs. Other Cardiovascular Procedures Codes
The CPT 93745 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 93745 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 |
| 93724-CPT | Moderate | Elec Alys Antitchycar Pm Sys, Electronic Analysis Of Antitachycardia Pacemaker System (Includes Electrocardiographic Recording Programming Of Device Induction And Termination Of Tachycardia Via Implanted Pacemaker And Interpretation Of Recordings) |
| 93745-CPT | Low | Set Up Cardiovert Defibrill, Initial Set Up And Programming By A Physician Or Other Qualified Health Care Professional Of Wearable Cardioverter Defibrillator Includes Initial Programming Of System Establishing Baseline Electronic Ecg Transmission Of Data To Data Repository Patient Instruction In Wearing System And Patient Reporting Of Problems Or Events |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93745. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93745 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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