CPT 92925 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 • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • LD - Left anterior descending coronary artery • LC - Left circumflex coronary artery |
| Complexity Level | Moderate |
National average reimbursement for CPT 92925 by major payers:
$245.15
$6,760.00
$199.60
$15,057.00
| 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 92925 | ||||||
United | 92925 | $20964.00 | 1275570376 - MONTGOMERY REGIONAL HOSPITAL INC, LEWISGALE HOSPITAL MONTGOMERY | 540889154 | VA | General Acute Care Hospital (282N00000X) |
United | 92925 | $16854.00 | 1558394361 - USC UNIVERSITY HOSPITAL, INC., USC HOSPITAL | 851644866 - (CA) KECK MEDICAL CENTER OF USC | CA | General Acute Care Hospital (282N00000X) |
United | 92925 | $5634.00 | 1467521146 - SSM HEALTH CARE ST. LOUIS, SSM HEALTH ST. JOSEPH HOSPITAL - ST. CHARLES | 431343281 - SSM HEALTH CARE ST LOUIS | MO | General Acute Care Hospital (282N00000X) |
United | 92925 | $36565.00 | 1972500452 - COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC | 351069822 - (IN) COMMUNITY HOSPITAL OF ANDERSON- MADISON COUNTY INC | IN | General Acute Care Hospital (282N00000X) |
United | 92925 | $16367.00 | 1720672934 - HAYWOOD COUNTY COMMUNITY HOSPITAL INC | 853679546 - (TN) HAYWOOD COUNTY COMMUNITY HOSPITAL INC | TN | General Acute Care Hospital (282N00000X) |
United | 92925 | $11156.00 | 1780974618 - MAIMONIDES MEDICAL CENTER | 111635081 - (NY) MAIMONIDES MEDICAL CENTER- | NY | General Acute Care Hospital (282N00000X) |
United | 92925 | $26844.00 | 1356389878 - DIGNITY HEALTH, MERCY HOSPITAL OF FOLSOM | 942761692 | CA | General Acute Care Hospital (282N00000X) |
United | 92925 | $25275.00 | 1548207640 - SUNRISE HOSPITAL AND MEDICAL CENTER, LLC, SUNRISE HOSPITAL AND MEDICAL CENTER | 621762537 | NV | General Acute Care Hospital (282N00000X) |
United | 92925 | $22252.00 | 1073172201 - UCH-MHS, MEMORIAL HEALTH SYSTEM | 460796114 - (CO) UCH-MHS | CO | General Acute Care Hospital (282N00000X) |
United | 92925 | $21533.00 | 1003883158 - TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON, TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON | 432008974 - (TX) TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON | TX | General Acute Care Hospital (282N00000X) |
United | 92925 | $21533.00 | 1033120423 - TEXAS HEALTH HUGULEY, INC., TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH | 452694620 - (TX) TEXAS HEALTH HUGULEY INC | TX | General Acute Care Hospital (282N00000X) |
United | 92925 | $28622.00 | 1497119218 - THEDACARE REGIONAL MEDICAL CENTER, APPLETON MEDICAL CENTER, INC. | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | General Acute Care Hospital (282N00000X) |
United | 92925 | $23624.00 | 1295755676 - PALM SPRINGS GENERAL HOSPITAL INC NEW CORPORATION, PALM SPRINGS GENERAL HOSPITAL, INC. | 475625607 | FL | General Acute Care Hospital (282N00000X) |
United | 92925 | $7181.00 | 1861690364 - DALLAS MEDICAL CENTER LLC, DALLAS MEDICAL CENTER | 271459658 - (TX) DALLAS MEDICAL CENTER, LLC | TX | General Acute Care Hospital (282N00000X) |
United | 92925 | $32722.00 | 1164478442 - OSCEOLASC LLC, ST CLOUD REGIONAL MEDICAL CENTER | 203728235 - (FL) OSCEOLASC LLC | FL | 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 92925 vs. Other Cardiovascular Procedures Codes
The CPT 92925 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 92925 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 92925. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92925 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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