CPT 93793 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 | • 11 - Office • 22 - On Campus Outpatient Hospital • 19 - Off Campus Outpatient Hospital |
| Common Modifiers | • None • GF - CAH services by NP/CNS/PA (Method II) • CG - Policy criteria applied |
| Complexity Level | Low |
National average reimbursement for CPT 93793 by major payers:
$16.12
$15.39
$15.11
$27.47
| 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 93793 | ||||||
United | 93793 | $22.17 | 1740201425 - JOSEPH DIVINCENZO | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | WI | Psychiatry Physician (2084P0800X) |
United | 93793 | $15.40 | 1578555256 - VIKTORIA ERHARDT | 363317058 - (IL) ACCESS COMMUNITY HEALTH NETWORK | IL | Psychiatry Physician (2084P0800X) |
United | 93793 | $17.01 | 1346361169 - ALMOIS MOHAMAD | 275252545 - (GA) UPSON SURGICAL ASSOCIATES LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93793 | $16.37 | 1013987791 - SUZANNE LUTTON | 650784345 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93793 | $22.96 | 1760412621 - RHONDA LAMPEN | 910844563 | MI | Psychiatry Physician (2084P0800X) |
United | 93793 | $9.13 | 1386646842 - FRANCES GLICKSMAN | 650581216 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93793 | $15.77 | 1376886192 - DUSTIN HILL | 205476847 - (FL) CARDIOVASCULAR INSTITUTE OF CENTRAL FLORIDA, LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93793 | $8.34 | 1215990437 - VICTOR PAZOS | 421546157 - (FL) VICTOR PAZOS, M.D., P.A. | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93793 | $27.69 | 1568752665 - ANDREW KNOX | 390884478 - BELLIN MEMORIAL HOSPITAL INC | WI | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93793 | $11.78 | 1871856922 - SHERRY-ANN BROWN | 861385436 | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93793 | $17.09 | 1992741128 - ANDREW BOYLE | 800639566 - (FL) WEST FLORIDA CARDIOLOGY NETWORK LLC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93793 | $14.98 | 1700898038 - EDWIN COOK | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 93793 | $39.66 | 1275832438 - ADAM RAPPOPORT | 590634433 - THE NEMOURS FOUNDATION | IL | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 93793 | $12.56 | 1235191719 - JAMES LONDON | 593158481 - (FL) OCALA FAMILY MEDICAL CENTER INC | FL | Cardiovascular Disease Physician (207RC0000X) |
United | 93793 | $16.52 | 1366483166 - MILENA HENZLOVA | 131624096 - MOUNT SINAI HOSPITAL | FL | Cardiovascular Disease Physician (207RC0000X) |
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 93793 vs. Other Cardiovascular Procedures Codes
The CPT 93793 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 93793 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 |
|---|---|---|
| 93792-CPT | 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 |
| 93793-CPT | Low | Anticoagulant Management For A Patient Taking Warfarin Must Include Review And Interpretation Of A New Home Office Or Lab International Normalized Ratio (Inr) Test Result Patient Instructions Dosage Adjustment (As Needed) And Scheduling Of Additional Test(S) When Performed |
| 93797-CPT | Low | Physician Or Other Qualified Health Care Professional Services For Outpatient Cardiac Rehabilitation; Without Continuous Ecg Monitoring (Per Session) (Revised 01/01/13) |
| 93798-CPT | Low | Physician Or Other Qualified Health Care Professional Services For Outpatient Cardiac Rehabilitation; With Continuous Ecg Monitoring (Per Session) (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93793. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93793 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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