CPT 93799 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 |
| Common Modifiers | • None • LD - Left anterior descending coronary artery • 26 - Professional component |
| Complexity Level | Moderate |
National average reimbursement for CPT 93799 by major payers:
$880.86
$104.63
$373.48
$990.34
| 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 93799 | ||||||
United | 93799 | $1400.00 | 1104976703 - TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | 752771437 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL KAUFMAN | TX | General Acute Care Hospital (282N00000X) |
United | 93799 | $1209.00 | 1700998697 - HOLY FAMILY MEMORIAL INC, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL | 390806395 - HOLY FAMILY MEMORIAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 93799 | $175.46 | 1417950650 - KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. | 481251730 - (KS) KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. | KS | General Acute Care Hospital (282N00000X) |
United | 93799 | $1679.00 | 1265481550 - CLARENDON MEMORIAL HOSPITAL | 812772554 - MCLEOD HEALTH CLARENDON | SC | Rural Acute Care Hospital (282NR1301X) |
United | 93799 | $1400.00 | 1407866064 - TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH | 752678857 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST FORT WORTH | TX | General Acute Care Hospital (282N00000X) |
United | 93799 | $511.00 | 1730134123 - RIVERVIEW REGIONAL MEDICAL CENTER LLC, RIVERVIEW REGIONAL MEDICAL CENTER | 472228529 | AL | General Acute Care Hospital (282N00000X) |
United | 93799 | $1069.00 | 1518957950 - BOLIVAR GENERAL HOSPITAL, INC., WEST TENNESSEE HEALTHCARE BOLIVAR HOSPITAL | 621624171 - (TN) BOLIVAR GENERAL HOSPITAL INC | TN | Critical Access Hospital (282NC0060X) |
United | 93799 | $2126.00 | 1437102605 - HCA HEALTH SERVICES OF GEORGIA, INC., HUGHSTON ORTHOPEDIC HOSPITAL | 331216751 - (GA) HUGHSTON HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 93799 | $1276.00 | 1730179714 - LAKEWOOD RANCH MEDICAL CENTER, LAKEWOOD RANCH MEDICAL CENTER | 731666433 - (FL) LAKEWOOD RANCH MEDICAL CENTER | FL | General Acute Care Hospital (282N00000X) |
United | 93799 | $431.00 | 1053350462 - FORREST COUNTY GENERAL HOSPITAL, HIGHLAND COMMUNITY HOSPITAL | 646001587 - FORREST COUNTY GENERAL HOSPITAL | MS | General Acute Care Hospital (282N00000X) |
United | 93799 | $3908.00 | 1003832098 - NASSAU HEALTH CARE CORPORATION, NUMC -DEPARTMENT OF PM&R, FPP | 113465690 | NY | General Acute Care Hospital (282N00000X) |
United | 93799 | $1300.00 | 1013994359 - FAIRVIEW HEALTH SERVICES, UNIVERSITY OF MN MEDICAL CENTER, FAIRVIEW | 410991680 - FAIRVIEW HEALTH SERVICES | MN | General Acute Care Hospital (282N00000X) |
United | 93799 | $1449.00 | 1609822881 - COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC, FROEDTERT MENOMONEE FALLS HOSPITAL | 390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC | WI | General Acute Care Hospital (282N00000X) |
United | 93799 | $1518.00 | 1528027240 - FAYETTE COMMUNITY HOSPITAL, INC., PIEDMONT FAYETTE HOSPITAL | 582322328 - (GA) FAYETTE COMMUNITY HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 93799 | $1494.00 | 1184468696 - NORTHWEST SAHUARITA HOSPITAL LLC | 384088744 - (AZ) NORTHWEST SAHUARITA HOSPITAL LLC | AZ | General Acute Care Hospital (282N00000X) |
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 93799 vs. Other Cardiovascular Procedures Codes
The CPT 93799 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 93799 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 |
|---|---|---|
| 93799-CPT | Moderate | Unlisted Cardiovascular Service Or Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93799 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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