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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision SA |
| Complexity Level | Low |
| Medicare Fee Schedule | $53.11 national non-facility rate (2026) · View Medicare rates for 93750 |
| Medicaid Fee Schedule | $42.79 median of the 8 states in the free preview · View Medicaid rates for 93750 |
National average reimbursement for CPT 93750 by major payers:

$68.87

$71.42

$70.01

$78.09
Choose a payer to see a sample of rates for CPT 93750.
Dignity Health, St. John'S Regional Medical Center
Hti Memorial Hospital Corporation, Tristar Skyline Medical Center
Vhs San Antonio Partners LLC, Baptist Medical Center
Continental Anesthesia
Insight Chicago Inc
Ultrasound Imaging Concepts, LLC
Ultrasound Imaging Concepts LLC
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Rate Benchmarking
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See a sample payer proposalCPT 93750 vs. Other Cardiovascular Procedures Codes
The CPT 93750 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 93750 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 |
|---|---|---|
| 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 |
| 93750-CPT | Low | Interrogation Vad In Person, Interrogation Of Ventricular Assist Device Vad In Person With Physician Or Other Qualified Health Care Professional Analysis Of Device Parameters Eg Drivelines Alarms Power Surges Review Of Device Function Eg Flow And Volume Status Septum Status Recovery With Programming If Performed And Report |
| 93792-CPT | Low | Pt Caregiver Traing Home Inr, Patient Caregiver Training For Initiation Of Home International Normalized Ratio Inr Monitoring Under The Direction Of A Physician Or Other Qualified Health Care Professional Face To Face Including Use And Care Of The Inr Monitor Obtaining Blood Sample Instructions For Reporting Home Inr Test Results And Documentation Of Patient S Caregiver S Ability To Perform Testing And Report Results |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93750 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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