CPT 92924 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • LD - Left anterior descending coronary artery • RC - Right coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 92924 |
National average reimbursement for CPT 92924 by major payers:
$894.40
$877.54
$813.86
$1,024.71
| 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 92924 | ||||||
United | 92924 | $533.47 | 1225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC | 571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLC | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 92924 | $17097.19 | 1265698948 - UNIVERSITY OF IOWA HOSPITAL AND CLINICS | 426004813 | IA | General Acute Care Hospital (282N00000X) |
United | 92924 | $3200.00 | 1104862044 - HOSPITAL DR. SUSONI. INC. | 660178801 - (PR) HOSPITAL DR SUSONI INC | PR | General Acute Care Hospital (282N00000X) |
United | 92924 | $12718.05 | 1205833241 - CLHG-WINN, LLC, WINN PARISH MEDICAL CENTER | 813465517 | LA | General Acute Care Hospital (282N00000X) |
United | 92924 | $834.83 | 1225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC | 571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLC | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 92924 | $39518.00 | 1457369381 - SOUTH SHORE UNIVERSITY HOSPITAL, SOUTHSIDE HOSPITAL | 111667761 - (NY) SOUTH SHORE UNIVERSITY HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 92924 | $18820.00 | 1386630705 - STATE OF MISSISSIPPI, HOLMES COUNTY HOSPITAL AND CLINIC | 646008520 | MS | Critical Access Hospital (282NC0060X) |
United | 92924 | $15723.00 | 1346213469 - GOOD SAMARITAN HOSPITAL OF SUFFERN | 131740104 - (NY) BON SECOURS CHARITY HEALTH SYSTEM INC | NY | General Acute Care Hospital (282N00000X) |
United | 92924 | $5840.00 | 1215998323 - UNIVERSITY HOSPITAL, UNIVERSITY OF MEDICINE AND DENTISTRY OF NJ | 221775306 | NJ | General Acute Care Hospital (282N00000X) |
United | 92924 | $14006.00 | 1184174989 - COMMUNITY MEMORIAL HOSPITAL | 390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC | WI | General Acute Care Hospital (282N00000X) |
United | 92924 | $12282.00 | 1508859661 - MERCY HOSPITAL JEFFERSON, JEFFERSON MEMORIAL HOSPITAL ASSOCIATION | 430687077 - (MO) MERCY HOSPITAL JEFFERSON | MO | General Acute Care Hospital (282N00000X) |
United | 92924 | $1780.00 | 1588612832 - COOK COUNTY, JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY | 366006541 - VETERANS ASSISTANCE COMMISSION C | IL | General Acute Care Hospital (282N00000X) |
United | 92924 | $37466.00 | 1295788677 - SUN HEALTH CORPORATION, SUN HEALTH BOSWELL HOSPITAL | 900389314 | AZ | General Acute Care Hospital (282N00000X) |
United | 92924 | $25128.00 | 1013918960 - GASTON MEMORIAL HOSPITAL, INCORPORATED, CAROMONT REGIONAL MEDICAL CENTER | 560619359 - (NC) GASTON MEMORIAL HOSPITAL INC | NC | General Acute Care Hospital (282N00000X) |
United | 92924 | $17957.00 | 1700883717 - RIVERVIEW HOSPITAL | 351128943 - RIVERVIEW HOSPITAL | IN | 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 92924 vs. Other Cardiovascular Procedures Codes
The CPT 92924 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 92924 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 | Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (Accessed Through The Skin), |
| 92921-CPT | Moderate | Percutaneous Transluminal Coronary Angioplasty; Each Additional Branch Of A Major Coronary Artery (List Separately In Addition To Code For Primary Procedure) |
| 92924-CPT | Moderate | Percutaneous Transluminal Coronary Atherectomy With Coronary Angioplasty When Performed; Single Major Coronary Artery Or Branch |
| 92925-CPT | Moderate | Percutaneous Transluminal Coronary Atherectomy With Coronary Angioplasty When Performed; Each Additional Branch Of A Major Coronary Artery (Listseparately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92924. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92924 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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