CPT 92937 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 • LC - Left circumflex coronary artery • RC - Right coronary artery |
| Complexity Level | Moderate |
National average reimbursement for CPT 92937 by major payers:
$828.73
$819.10
$786.14
$958.02
| 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 92937 | ||||||
United | 92937 | $895.55 | 1265446025 - MATTHEW KNECHT | 134352061 | OR | Optometrist (152W00000X) |
United | 92937 | $18448.00 | 1396882205 - VANDERBILT UNIVERSITY MEDICAL CENTER | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 92937 | $14070.00 | 1386252112 - AHMC SETON MEDICAL CENTER LLC | 851126333 | CA | General Acute Care Hospital (282N00000X) |
United | 92937 | $5822.00 | 1609927748 - TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO | 752771569 - (TX) MOTHER FRANCES HOSPITAL-WINNSBORO | TX | General Acute Care Hospital (282N00000X) |
United | 92937 | $3229.00 | 1700112745 - MERCY HOSPITAL JOPLIN, MERCY HOSPITAL JOPLIN | 270814858 - MERCY HOSPITAL JOPLIN | MO | General Acute Care Hospital (282N00000X) |
United | 92937 | $4120.00 | 1073606737 - DELAWARE COUNTY MEMORIAL HOSPITAL | 811520273 | PA | General Acute Care Hospital (282N00000X) |
United | 92937 | $4749.00 | 1700801909 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE MEMORIAL CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 92937 | $11827.79 | 1003996000 - THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON, NORTHEAST ALABAMA REGIONAL MEDICAL CENTER | 636000090 - THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON | AL | General Acute Care Hospital (282N00000X) |
United | 92937 | $4635.00 | 1770543399 - RUSH MEDICAL FOUNDATION, OCHSNER RUSH MEDICAL CENTER | 640345119 - (MS) RUSH MEDICAL FOUNDATION | MS | General Acute Care Hospital (282N00000X) |
United | 92937 | $13299.00 | 1023000569 - AHMC WHITTIER HOSPITAL MEDICAL, WHITTIER HOSPITAL MEDICAL CENTER | 510519159 - (CA) AHMC WHITTIER HOSPITAL MEDICAL | CA | General Acute Care Hospital (282N00000X) |
United | 92937 | $11396.00 | 1508856535 - LANCASTER HOSPITAL CORPORATION, PALMDALE REGIONAL MEDICAL CENTER | 953565954 - (CA) LANCASTER HOSPITAL CORPORATION | CA | General Acute Care Hospital (282N00000X) |
United | 92937 | $11370.00 | 1942288527 - MARY WASHINGTON HOSPITAL INC. | 540519577 - (VA) MARY WASHINGTON HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 92937 | $5458.00 | 1477537363 - VHS OF PHOENIX INC, ABRAZO CENTRAL CAMPUS | 621809851 | AZ | General Acute Care Hospital (282N00000X) |
United | 92937 | $28133.00 | 1720004450 - NORTH COLORADO MEDICAL CENTER | 841287638 | CO | General Acute Care Hospital (282N00000X) |
United | 92937 | $1020.00 | 1326016684 - NORTH CADDO HOSPITAL SERVICE DISTRICT, NORTH CADDO MEDICAL CENTER | 720594537 - (LA) NORTH CADDO HOSPITAL SERVICE DISTRICT | LA | Critical Access Hospital (282NC0060X) |
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 92937 vs. Other Cardiovascular Procedures Codes
The CPT 92937 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 92937 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), |
| 92928-CPT | Moderate | Percutaneous Transcatheter Placement Of Intracoronary Stent(S) With Coronary Angioplasty When Performed; Single Major Coronary Artery Or Branch |
| 92933-CPT | Moderate | Percutaneous Transluminal Coronary Atherectomy With Intracoronary Stent With Coronary Angioplasty When Performed; Single Major Coronary Artery Or Branch |
| 92937-CPT | Moderate | Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass Graft (Internal Mammary Free Arterial Venous) Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Distal Proctection When Performed; Single Vessel |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92937. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92937 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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