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See a sample rate comparisonHealthcare 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component LD - Left anterior descending coronary artery |
| Complexity Level | Low |
| Medicare Fee Schedule | $73.48 national non-facility rate (2026) · View Medicare rates for 92979 |
| Medicaid Fee Schedule | $102.73 median of the 5 states in the free preview · View Medicaid rates for 92979 |
National average reimbursement for CPT 92979 by major payers:

$177.81

$224.78

$209.89

$269.48
Choose a payer to see a sample of rates for CPT 92979.
Donald Rhodes
East Alabama Heart And Vascular LLC
Bankimchandra Patel
Michael Mansour
Donald Rhodes
Auburn Cardiovascular, PC
Therese Lango
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Rate Benchmarking
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See a sample payer proposalCPT 92979 vs. Other Cardiovascular Procedures Codes
The CPT 92979 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 92979 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 |
|---|---|---|
| 92971-CPT | Low | Heart-Assist Procedure, A Procedure To Place A Device Around The Abdomen Or Legs That Provides Resistance To Help With Circulation. |
| 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) |
| 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) |
| 93015-CPT | Low | Cardiovascular Stress Test, Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And Or Pharmacological Stress With Supervision Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92979. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92979 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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