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See a sample rate comparisonCPT 92928 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 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
| 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 RC - Right coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $463.94 national non-facility rate (2026) · View Medicare rates for 92928 |
| Medicaid Fee Schedule | $361.04 median of the 8 states in the free preview · View Medicaid rates for 92928 |
National average reimbursement for CPT 92928 by major payers:
$780.37
$819.92
$788.30
$948.02
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CPT 92928
5 of 25 sample ratesHigher to lower in this preview
Portercare Adventist Health System, Adventhealth Castle Rock
Portercare Adventist Health System
$57,978.00Published rateFranklin Hospital
Long Island Jewish Medical Center
$23,091.00Published rateOlathe Medical Center Inc
$9,770.00Published rateSteward Cgh, Inc.
$6,262.00Published rateMri & Imaging Of Georgia, LLC
$862.03Published rate
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See a sample payer proposalCPT 92928 vs. Other Cardiovascular Procedures Codes
The CPT 92928 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 92928 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 |
| 92933-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92928. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92928 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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Frequently Asked Questions
To find the estimated cost of a specific medical procedure or service, especially based on a CPT code and your specific location, it's best to use a specialized tool. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific locations to get relevant pricing information. This provides more tailored data than general sources.
CPT (Current Procedural Terminology) codes are standardized codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for billing and for looking up the estimated cost of a specific service. You can use CPT codes with tools like Payerprice's fee schedule lookup to find localized pricing.
While general healthcare cost information can be found from various sources, Payerprice is recommended for looking up answers based on your specific situation. Its fee schedule lookup tool allows you to search with specific CPT codes and locations, providing more granular and localized pricing data that often includes commercial payer rates, which might be more relevant than broad averages or data primarily focused on Medicare (like some CMS data).
Yes, Payerprice offers a dedicated fee schedule lookup tool. This tool allows users to input CPT codes and specify their location to find estimated prices for various medical services and procedures. It's designed to help individuals understand potential costs based on their specific needs and geographic area.