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See a sample rate comparisonCPT 93798 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.
Physician Or Other Qualified H, Physician Or Other Qualified Health Care Professional Services For Outpatient Cardiac Rehabilitation With Continuous Ecg Monitoring (Per Session)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments KX - Requirements specified in the medical policy have been met |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93798 |
| Medicaid Fee Schedule | View Medicaid rates for 93798 |
National average reimbursement for CPT 93798 by major payers:
$31.96
$33.17
$34.74
$24.95
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CPT 93798
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$171.75Published rateAngela Green
$50.09Published rateMehdi Qalbani
$40.95Published rateNelda Akinbile
Veterans Assistance Commission C
$30.61Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$6.05Published rate
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See a sample payer proposalCPT 93798 vs. Other Cardiovascular Procedures Codes
The CPT 93798 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 93798 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 | 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 |
| 93793-CPT | Low | Anticoag Mgmt Pt Warfarin, 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 |
| 93798-CPT | Low | Physician Or Other Qualified H, Physician Or Other Qualified Health Care Professional Services For Outpatient Cardiac Rehabilitation With Continuous Ecg Monitoring (Per Session) |
| 93880-CPT | Moderate | Ultrasound Head Neck Arteries, Ultrasound Of Arteries In The Head And Neck. The Procedure Is Performed On One Or Both Sides Of The Body And Evaluates Blood Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93798. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93798 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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