CPT 93788 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 | None 11 - Office |
| Common Modifiers | None PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments 93 - Telemedicine - audio only |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93788 |
National average reimbursement for CPT 93788 by major payers:
$11.06
$11.89
$11.29
$18.42
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 93788 | $4.90 | 1194430504 - JULIA LOZA-VEGA | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physician Assistant (363A00000X) |
United | 93788 | $12.96 | 1790936540 - SRISHTI NANGIA | 131623978 | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93788 | $4.44 | 1245360411 - ANDREW KULIK | 364340137 - (IL) SAINT ANTHONY HEALTH AFFILIATES | IL | Psychiatry Physician (2084P0800X) |
United | 93788 | $7.73 | 1376822486 - AMAL ASIRI | 475419443 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93788 | $9.73 | 1730263617 - MARK ALTER | 910844563 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93788 | $12.77 | 1164410502 - ALAN FELTHOUS | 430654872 - ST LOUIS UNIVERSITY | IL | Psychiatry Physician (2084P0800X) |
United | 93788 | $9.77 | 1467802108 - MIRIAM BALTUANO SONGHURST | 863284696 - OU HEALTH PARTNERS INC | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93788 | $9.73 | 1962664789 - JAMIE EVANS | 910844563 | VA | Psychiatry Physician (2084P0800X) |
United | 93788 | $29.79 | 1083622955 - ALMA BICKNESE | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93788 | $24.47 | 1144203753 - HAIDAR KABBANI | 363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN | OH | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93788 | $10.13 | 1063891232 - BIKRAM SHARMA | 364340137 - (IL) SAINT ANTHONY HEALTH AFFILIATES | OH | Psychiatry Physician (2084P0800X) |
United | 93788 | $24.47 | 1013173699 - REBECCA O'DONNELL | 364187449 | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93788 | $5.57 | 1225211600 - JOHN MILLICHAP | 262037695 - GRADY MEMORIAL HOSPITAL CORPORATION | NC | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93788 | $3.50 | 1598375651 - E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC, E AND A HEALTHCARE ON THE GO | 832289173 - (FL) E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC | FL | Home Health Agency (251E00000X) |
United | 93788 | $8.43 | 1043606742 - JENIFER LLOYD | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | IL | Psychiatry Physician (2084P0800X) |
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 93788 vs. Other Cardiovascular Procedures Codes
The CPT 93788 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 93788 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 |
|---|---|---|
| 93784-CPT | Low | Ambulatory Blood Pressure Moni, Ambulatory Blood Pressure Monitoring Utilizing Report-Generating Software Automated Worn Continuously For 24 Hours Or Longer Including Recording Scanning Analysis Interpretation And Report |
| 93786-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
| 93788-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
| 93790-CPT | Low | 24+ Hr Blood Pressure Monitor, Blood Pressure Monitoring Worn During Routine Daily Activities For A Period Of 24 Hours Or Longer. The Monitoring Helps Determine The Frequency And Severity Of High Blood Pressure Readings. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93788. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93788 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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