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See a sample rate comparisonCPT 92971 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.
Heart-Assist Procedure, A Procedure To Place A Device Around The Abdomen Or Legs That Provides Resistance To Help With Circulation.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $87.51 national non-facility rate (2026) · View Medicare rates for 92971 |
| Medicaid Fee Schedule | $68.34 median of the 8 states in the free preview · View Medicaid rates for 92971 |
National average reimbursement for CPT 92971 by major payers:
$126.79
$133.70
$126.88
$156.01
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CPT 92971
5 of 25 sample ratesHigher to lower in this preview
New York Society For The Relief Of Ruptured & Crippled Maintaining, Hospital For Special Surgery
New York Society For The Relief Of Ruptured & Crippled Maintaining
$8,227.00Published rateOchsner Baptist Medical Center
Ochsner Clinic Foundation
$5,729.00Published rateCentral Tennessee Hospital Corporation, Tristar Horizon Medical Center
Central Tennessee Hospital Corporation
$3,585.00Published rateCarondelet Health Network, St. Mary'S Hospital
$1,397.00Published rateBradley Smith
Emergeortho, P.A.
$99.76Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92971 vs. Other Cardiovascular Procedures Codes
The CPT 92971 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 92971 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 |
|---|---|---|
| 92970-CPT | Moderate | Heart-Assist Procedure, A Procedure To Place A Device Around The Abdomen Or Legs That Provides Resistance To Help With Circulation. |
| 92971-CPT | Low | Heart-Assist Procedure, A Procedure To Place A Device Around The Abdomen Or Legs That Provides Resistance To Help With Circulation. |
| 92973-CPT | Moderate | Remove Clot From Heart Artery, Procedure To Flush A Blood Clot Out Of A Blood Vessel. A High-Pressure Saline Stream (Via A Pump) Is Used To Break Up The Clot Into Small Pieces And Push It Through The Catheter (Tube) And Out Of The Body. |
| 92979-CPT | Low | Endoluminal Imaging Of Coronary Vessel Or Graft Using Intravascular Ultrasound (Ivus) Or Optical Coherence Tomography (Oct) During Diagnostic Evaluation And/Or Therapeutic Intervention Including Imaging Supervision Interpretation And Report; Each Additional Vessel (List Separately Inaddition To Code For Primary Procedure) (Desc Revised 1/1/2017) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92971. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92971 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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