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See a sample rate comparisonCPT 92974 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.
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.
| 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 | $138.61 national non-facility rate (2026) · View Medicare rates for 92974 |
| Medicaid Fee Schedule | $116.33 median of the 8 states in the free preview · View Medicaid rates for 92974 |
National average reimbursement for CPT 92974 by major payers:
$203.12
$219.27
$214.01
$257.86
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CPT 92974
5 of 25 sample ratesHigher to lower in this preview
Methodist Hospital
$7,080.00Published rateDignity Health, St. Joseph'S Westgate Medical Center
Dignity Health
$1,941.00Published rateFroedtert Health Neighborhood Hospital, LLC, Froedtert Community Hospital
$1,100.00Published rateFloyd County Memorial Hospital Commission
$558.00Published rateJohnston Memorial Hospital, Inc, Johnston Memorial Sleep Lab
Johnston Memorial Hospital Inc
$183.00Published rate
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See a sample payer proposalCPT 92974 vs. Other Cardiovascular Procedures Codes
The CPT 92974 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 92974 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. |
| 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. |
| 93000-CPT | Low | Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leads With Interpretation And Report Electrocardiogram Routine Ecg With At Least 12 Leads With |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92974. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92974 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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