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See a sample rate comparisonCPT 92920 Fee Schedule
Last Verified: October 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.
Prq Cardiac Angioplast 1 Art, Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (Accessed Through The Skin) Each Additional Artery Or Branch
| 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 | LD - Left anterior descending coronary artery LC - Left circumflex coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $387.12 national non-facility rate (2026) · View Medicare rates for 92920 |
| Medicaid Fee Schedule | $301.485 median of the 8 states in the free preview · View Medicaid rates for 92920 |
National average reimbursement for CPT 92920 by major payers:
$747.10
$737.21
$707.16
$852.86
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CPT 92920
5 of 25 sample ratesHigher to lower in this preview
Texas Heart Hospital Of The Southwest, LLC, Baylor Scott & White Heart And Vascular Hospital - Dallas
Baylor Heart & Vascular Hospital
$24,812.00Published rateTexas Health Arlington Memorial
Texas Health Arlington Memorial Hospital
$16,083.00Published rateAdvanced Surgery Center Of Metairie LLC
Advanced Surgery Center Of Metairie
$6,087.00Published rateNew Orleans La Uptown West Bank Endoscopy Asc LLC, Mga Gastrointestinal Diagnostic And Terapeutic Center
$2,412.00Published rateBsa Hospital LLC
$556.14Published rate
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See a sample payer proposalCPT 92920 vs. Other Cardiovascular Procedures Codes
The CPT 92920 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 92920 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 |
|---|---|---|
| 92920-CPT | Moderate | Prq Cardiac Angioplast 1 Art, Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (Accessed Through The Skin) Each Additional Artery Or Branch |
| 92924-CPT | Moderate | Treat Artery Blockage In Heart, Procedure To Remove Fatty Deposits On The Walls Of An Artery Of The Heart Obstructing The Flow Of Blood That Normally Nourishes The Heart Muscle. A Small Device May Be Used To Hold The Artery Open. The Device May Contain Medication To Be Released Over Time. |
| 92928-CPT | Moderate | Prq Tcat Plmt Ntrac St 1 Les, Percutaneous Transcatheter Placement Of Intracoronary Stent(S) With Coronary Angioplasty When Performed Single Major Coronary Artery And/Or Its Branch(Es); 1 Lesion Involving 1 Or More Coronary Segments |
| 92937-CPT | Moderate | Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass Graft (Internal Mammary Free Arterial Venous) Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Distal Protection When Performed; Single Major Coronary Artery And/Or Its Branches Vessel |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92920 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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