CPT 93750 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • GC - Service performed by resident under supervision • SA |
| Complexity Level | Moderate |
National average reimbursement for CPT 93750 by major payers:
$68.87
$71.42
$70.01
$94.23
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
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CPT 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 | Moderate | 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 | Low | 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(Revised 01/01/13) |
| 93750 | Low | 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 Programmingif Performed And Report (Revised 01/01/13) |
| 93792 | Low | 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 Includingu00a0use And Care Of The Inr Monitor Obtaining Blood Sample Instructions For Reportinghome Inr Test Results And Documentation Of Patients/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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Medicare Reimbursement Lookup Tool
Medicare localities are geographic regions used to adjust reimbursement rates based on local costs. Rates vary by locality to reflect differences in wages, rent, and other expenses. Sign up to see commercial rates (United/BCBS/Cigna/Aetna)
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| Year | Billing Code | Locality | Non-Facility Fee | Facility Fee |
|---|