CPT 92929 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 • LC - Left circumflex coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 92929 |
National average reimbursement for CPT 92929 by major payers:
$966.54
$518.48
$418.81
$931.01
| 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 92929 | ||||||
United | 92929 | $8025.00 | 1700036696 - ROANE COUNTY MEDICAL CENTER, ROANE MEDICAL CENTER | 680673354 - (TN) ROANE COUNTY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 92929 | $1424.00 | 1427231604 - GILA RIVER HEALTH CARE CORPORATION | 860810876 - (AZ) GILA RIVER HEALTH CARE CORPORATION | AZ | Rural Acute Care Hospital (282NR1301X) |
United | 92929 | $28267.00 | 1316000706 - COLUMBIA ST MARY'S HOSPITAL OZAUKEE, INC., ASCENSION COLUMBIA ST MARY'S HOSPITAL OZAUKEE | 390806315 - COLUMBIA ST MARYS HOSPITAL MILWAUKEE INC | WI | General Acute Care Hospital (282N00000X) |
United | 92929 | $1750.00 | 1760417646 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL | 461353294 | TX | Critical Access Hospital (282NC0060X) |
United | 92929 | $5104.00 | 1811971302 - MEDICAL UNIVERSITY OF OHIO AT TOLEDO, UNIVERSITY OF TOLEDO MEDICAL CENTER | 340967014 | OH | General Acute Care Hospital (282N00000X) |
United | 92929 | $8131.00 | 1700155587 - METHODIST LE BONHEUR HEALTHCARE | 620479367 - METHODIST HEALTHCARE-MEMPHIS | TN | General Acute Care Hospital (282N00000X) |
United | 92929 | $4338.00 | 1215981303 - VICKSBURG HEALTHCARE LLC, MERIT HEALTH RIVER REGION | 621752111 - (MS) VICKSBURG HEALTHCARE LLC | MS | General Acute Care Hospital (282N00000X) |
United | 92929 | $4534.00 | 1285607416 - ASHTABULA COUNTY MEDICAL CENTER | 340726081 - (OH) ASHTABULA COUNTY MEDICAL CENTER | OH | General Acute Care Hospital (282N00000X) |
United | 92929 | $30421.00 | 1720004450 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | General Acute Care Hospital (282N00000X) |
United | 92929 | $18756.00 | 1104381292 - TEXAS HEALTH HOSPITAL FRISCO | 831954982 - (TX) TEXAS HEALTH HOSPITAL FRISCO | TX | General Acute Care Hospital (282N00000X) |
United | 92929 | $8069.00 | 1912341439 - METHODIST HEALTHCARE | 640889822 - (MS) METHODIST HEALTHCARE | MS | General Acute Care Hospital (282N00000X) |
United | 92929 | $23138.00 | 1538535158 - SMSJ TUCSON HOLDINGS LLC, ST. JOSEPHS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | 92929 | $6803.00 | 1013941806 - BOONEVILLE COMMUNITY HOSPITAL | 463851119 - MERCY HOSPITAL BOONEVILLE | AR | Critical Access Hospital (282NC0060X) |
United | 92929 | $14598.00 | 1659523132 - THE METHODIST HOSPITAL, THE METHODIST HOSPITAL | 350868133 - METHODIST HOSPITALS INC | IN | General Acute Care Hospital (282N00000X) |
United | 92929 | $19185.00 | 1407917057 - WINTER HAVEN HOSPITAL | 590724462 - (FL) WINTER HAVEN HOSPITAL INC | 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 92929 vs. Other Cardiovascular Procedures Codes
The CPT 92929 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 92929 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 |
|---|---|---|
| 92921-CPT | Moderate | Percutaneous Transluminal Coronary Angioplasty; Each Additional Branch Of A Major Coronary Artery (List Separately In Addition To Code For Primary Procedure) |
| 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) |
| 92928-CPT | Moderate | Percutaneous Transcatheter Placement Of Intracoronary Stent(S) With Coronary Angioplasty When Performed; Single Major Coronary Artery Or Branch |
| 92929-CPT | Moderate | Percutaneous Transcatheter Placement Of Intracoronary Stent(S), With Coronary Angioplasty When Performed; Each Additional Branch Of A Major Coronary Artery (List Separately 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 92929. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92929 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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