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See a sample rate comparisonCPT 92945 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 Trl Rvs Ch Occ Ant&Rtrgr, 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; Combined Antegrade And Retrograde Approaches
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $631.95 national non-facility rate (2026) · View Medicare rates for 92945 |
| Medicaid Fee Schedule | $554.935 median of the 8 states in the free preview · View Medicaid rates for 92945 |
National average reimbursement for CPT 92945 by major payers:
$975.39
$1,053.73
$2,509.80
$N/A
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CPT 92945
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See a sample payer proposalCPT 92945 vs. Other Cardiovascular Procedures Codes
The CPT 92945 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 92945 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 |
|---|---|---|
| 92945-CPT | Moderate | Prq Trl Rvs Ch Occ Ant&Rtrgr, 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; Combined Antegrade And Retrograde Approaches |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92945. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92945 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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