CPT 92977 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Cardiovascular Procedures |
| Common Place of Service | • 23 - Emergency Room • 11 - Office |
| Common Modifiers | • None • 51 - Multiple procedures • 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92977 |
National average reimbursement for CPT 92977 by major payers:
$112.47
$136.79
$95.03
$139.59
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 92977 | ||||||
United | 92977 | $217.00 | 1518924752 - LAIRD HOSPITAL, INC., OCHSNER LAIRD HOSPITAL | 201835779 - (MS) LAIRD HOSPITAL INC | MS | Critical Access Hospital (282NC0060X) |
United | 92977 | $4317.00 | 1699718437 - NEBRASKA HEART HOSPITAL, CHI HEALTH NEBRASKA HEART | 392031968 - (NE) NEBRASKA HEART HOSPITAL | NE | General Acute Care Hospital (282N00000X) |
United | 92977 | $1337.00 | 1740389154 - RICHMOND MEDICAL CENTER, CASTLETON ACQUISITION CORPORATION | 743177454 - (NY) RICHMOND MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 92977 | $5681.00 | 1386746592 - KENNEDY UNIVERSITY HOSPITAL INC. | 221773439 - (NJ) KENNEDY UNIVERSITY HOSPITAL INC | NJ | General Acute Care Hospital (282N00000X) |
United | 92977 | $107.34 | 1982994224 - OVERLOOK HOSPITAL | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | Primary Care Clinic/Center (261QP2300X) |
United | 92977 | $9907.00 | 1851340608 - NEW YORK WESTCHESTER SQ MED CTR, WESTCHESTER SQUARE MEDICAL CENTER | 131740114 - MONTEFIORE MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 92977 | $4426.00 | 1326493602 - THEDACARE MEDICAL CENTER, COMMUNITY HEALTH NETWORK, INC. AND BERLIN MEMORIAL HOSPITAL | 350983617 - COMMUNITY HEALTH NETWORK INC | WI | Critical Access Hospital (282NC0060X) |
United | 92977 | $1362.00 | 1558921411 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 92977 | $366.00 | 1417279936 - WEST KENDALL BAPTIST HOSPITAL INC | 522438452 - (FL) WEST KENDALL BAPTIST HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 92977 | $648.00 | 1164447850 - PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON, ISLAND HOSPITAL | 910729255 - (WA) PUBLIC HOSPITAL DISTRICT NO 2 | WA | General Acute Care Hospital (282N00000X) |
United | 92977 | $78.75 | 1225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC | 571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLC | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 92977 | $1145.00 | 1497988596 - ST. JOHN BROKEN ARROW, INC, ST. JOHN BROKEN ARROW | 383833117 - ST JOHN BROKEN ARROW INC | OK | General Acute Care Hospital (282N00000X) |
United | 92977 | $1189.00 | 1982928230 - VILLE PLATTE MEDICAL CENTER | 824681222 | LA | General Acute Care Hospital (282N00000X) |
United | 92977 | $3793.00 | 1952332801 - THE NEW YORK AND PRESBYTERIAN HOSPITAL, NEW YORK-PRESBYTERIAN HOSPITAL | 133957095 - (NY) THE NEW YORK AND PRESBYTERIAN HOSPITAL | NY | General Acute Care Hospital (282N00000X) |
United | 92977 | $286.97 | 1841471471 - NEXT GENERATION IMAGING | 208967541 - (TN) NEXT GENERATION IMAGING | TN | Radiology Clinic/Center (261QR0200X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 92977 vs. Other Cardiovascular Procedures Codes
The CPT 92977 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 92977 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 | Cardioassist-Method--Circ.;Internal |
| 92975-CPT | Moderate | Thrombolys,Coronary;Intracor.Infusn |
| 92977-CPT | Low | Thrombolysis Coronary-Iv Infusion |
| 92978-CPT | Moderate | 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; Initial Vessel (List Separately In Addition 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 92977. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92977 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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