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 |
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 | $10974.00 | 1154675072 - UT MEDICAL GROUP, INC, | 621113169 - (TN) SHELBY COUNTY HEALTH CARE CORPORATION | TN | Children's Hospital (282NC2000X) |
United | 92929 | $30421.00 | 1720004450 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | General Acute Care Hospital (282N00000X) |
United | 92929 | $4170.00 | 1225293087 - CENTENNIAL SURGUNIT, LLC, CENTENNIAL SURGERY CENTER | 223580847 - (NJ) CENTENNIAL SURGUNIT LLC | NJ | Radiology Clinic/Center (261QR0200X) |
United | 92929 | $12546.00 | 1780720664 - WEST SUBURBAN HOSPITAL MEDICAL CENTER, WEST SUBURBAN MEDICAL CENTER | 611899386 | IL | General Acute Care Hospital (282N00000X) |
United | 92929 | $20864.00 | 1083644033 - CLEVELAND CLINIC WESTON HOSPITAL NONPROFIT CORPORATION, CLEVELAND CLINIC HOSPITAL | 650844880 - (FL) CLEVELAND CLINIC WESTON HOSPITAL NONPROFIT CORPORATION | FL | General Acute Care Hospital (282N00000X) |
United | 92929 | $17798.85 | 1457372625 - INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION, INTEGRIS SOUTHWEST MEDICAL CENTER | 731089149 - (OK) INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION | OK | General Acute Care Hospital (282N00000X) |
United | 92929 | $10063.00 | 1265122501 - NEW YORK SOCIETY FOR RELIEF OF THE RUPTURED AND CRIPPLED MAINTAINING T | 131624135 - NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED & CRIPPLED MAINTAINING | NY | Radiology Clinic/Center (261QR0200X) |
United | 92929 | $44000.00 | 1437102639 - COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP, MEDICAL CITY MCKINNEY | 621682207 - (TX) COLUMBIA MEDICAL CENTER OF MCKINNEY SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 92929 | $16779.00 | 1700998697 - HOLY FAMILY MEMORIAL INC, FROEDTERT HOLY FAMILY MEMORIAL HOSPITAL | 390806395 - HOLY FAMILY MEMORIAL INC | WI | General Acute Care Hospital (282N00000X) |
United | 92929 | $8744.00 | 1407637531 - TAMPA GENERAL HOSPITAL CITRUS LLC, TAMPA GENERAL HOSPITAL CRYSTAL RIVER | 933040761 | FL | General Acute Care Hospital (282N00000X) |
United | 92929 | $13015.00 | 1255640819 - VHS OF ARROWHEAD, INC., ABRAZO ARIZONA HEART HOSPITAL | 621811285 | AZ | General Acute Care Hospital (282N00000X) |
United | 92929 | $11590.00 | 1679133532 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 92929 | $8641.00 | 1962403865 - DEKALB MEDICAL CENTER, INC., EMORY HILLANDALE HOSPITAL | 581966795 - (GA) EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
United | 92929 | $1032.00 | 1447218235 - COMMUNITY HOSPITAL | 630047680 - (AL) COMMUNITY HOSPITAL INC | AL | General Acute Care Hospital (282N00000X) |
United | 92929 | $16561.00 | 1669489571 - SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA UNIVERISTY MEDICAL CENTER | 953522679 - SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER INC | CA | 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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