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See a sample rate comparisonCPT 92943 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.
Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Chronic Total Occlusion Single Coronary Artery Coronary Artery Branch Or Coronary Artery Bypass Graft And/Or Subtended Major Coronary Artery Branches Of The Bypass Graft Any Combination Of Intracoronary Stent Atherectomy And Angioplasty; Single Vessel Antegrade Approach
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | RC - Right coronary artery LD - Left anterior descending coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $633.95 national non-facility rate (2026) · View Medicare rates for 92943 |
| Medicaid Fee Schedule | $490.505 median of the 8 states in the free preview · View Medicaid rates for 92943 |
National average reimbursement for CPT 92943 by major payers:
$905.33
$919.78
$884.04
$1,062.04
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CPT 92943
5 of 25 sample ratesHigher to lower in this preview
Bon Secours St. Mary'S Hospital Of Richmond LLC, Bon Secours St Mary'S Hospital Of Richmond Pro Fee Services
Bon Secours St Marys Hospital Of Richmond LLC
$65,015.00Published rateStaten Island University Hospital
$23,316.00Published rateIntegris South Oklahoma City Hospital Corporation
$9,839.00Published rateHshs Holy Family Hospital Inc
$5,655.00Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$558.22Published rate
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See a sample payer proposalCPT 92943 vs. Other Cardiovascular Procedures Codes
The CPT 92943 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 92943 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 |
|---|---|---|
| 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 |
| 92937-CPT | Moderate | Cardiovascular Surgery, 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 Protection When Performed; Single Major Coronary Artery And/Or Its Branches Vessel |
| 92941-CPT | Moderate | Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Acute Total/Subtotal Occlusion During Acute Myocardial Infarction Coronary Artery Or Coronary Artery Bypass Graft Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Aspiration Thrombectomy When Performed Single Vessel Major Coronary Artery And/Or Its Branches Or Single Bypass Graft And/Or Its Subtended Branches |
| 92943-CPT | Moderate | Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Chronic Total Occlusion Single Coronary Artery Coronary Artery Branch Or Coronary Artery Bypass Graft And/Or Subtended Major Coronary Artery Branches Of The Bypass Graft Any Combination Of Intracoronary Stent Atherectomy And Angioplasty; Single Vessel Antegrade Approach |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92943. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92943 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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