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See a sample rate comparisonCPT 92973 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.
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.
| 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 | RC - Right coronary artery LD - Left anterior descending coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $81.50 national non-facility rate (2026) · View Medicare rates for 92973 |
| Medicaid Fee Schedule | $88.68 median of the 8 states in the free preview · View Medicaid rates for 92973 |
National average reimbursement for CPT 92973 by major payers:
$242.86
$239.12
$238.09
$280.83
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CPT 92973
5 of 25 sample ratesHigher to lower in this preview
Stanford Health Care, Stanford Health Care Emeryville 5800
$4,928.00Published rateThe Health Care Authority Of The City Of Huntsville, Huntsville Hospital
$2,661.00Published rateElmhurst Memorial Hospital
Elmhurst Memorial Healthcare
$1,639.00Published rateAscension Via Christi Hospital St Teresa Inc.
Ascension Via Christi Hospital St Teresa Inc
$797.00Published rateSmyth County Community Hospital, Smyth County Community Hospital Rehabilitation
Smyth County Community Hospital
$157.00Published rate
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See a sample payer proposalCPT 92973 vs. Other Cardiovascular Procedures Codes
The CPT 92973 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 92973 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. |
| 92974-CPT | Moderate | Place Radiation Therapy Tool, Insertion Of A Catheter (Tube) That Will Be Used To Place Radioactive Seeds Into The Heart Artery For Brachytherapy. Brachytherapy Implants Tiny Radioactive Particles (Seeds) Near A Tumor. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92973. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92973 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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