CPT code 92928: Coronary stenting, one artery or branch2026 Medicare rate & RVUs

Reports coronary stent placement, including angioplasty when performed, in one major coronary artery or branch during a percutaneous intervention.

CMS RVU26DEffective Oct 1, 2026109 payment localities189K Medicare services in 2024

Medicare pays $463.94 for 92928 nationally in a facility.

Medicare rate · 92928

Coronary stenting, one artery or branch

Office or facility?

Work RVUs
9.75
Total RVUs
13.89
Global days
000

National rate · 2026

$463.94

Facility setting, before claim adjustments.

See every locality for 92928 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 92928 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92928 covers

This code covers percutaneous placement of one or more stents in a single major coronary artery or branch. Balloon angioplasty in that same treated artery or branch is included when performed; the code is not counted per stent. An interventional cardiologist typically performs the procedure in a cardiac catheterization laboratory to treat a coronary narrowing that requires stenting.

Select the code based on the treated coronary artery or branch and whether a stent was placed, not the number of stents deployed. The procedure report should identify the target vessel or branch and document stent placement and any angioplasty performed. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 92928 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92928 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$422.92
AlaskaUnavailable$596.27
ArizonaUnavailable$450.97
ArkansasUnavailable$418.01
Atlanta, GAUnavailable$481.34
Austin, TXUnavailable$459.40
Bakersfield, CAUnavailable$445.99
Baltimore area, MDUnavailable$491.84
Beaumont, TXUnavailable$452.95
Brazoria, TXUnavailable$449.09

92928 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
92928 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 92928 rate is calculated

Each of 92928’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 92928

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.75

9.75 RVUs× 1.000 GPCI

Practice expense1.84

1.84 RVUs× 1.000 GPCI

Malpractice2.30

2.30 RVUs× 1.000 GPCI

Adjusted RVUs

13.8900

Conversion factor

$33.4009

Medicare rate

$463.94

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 92928

The CMS indicators that decide how 92928 is paid alongside other services.

CMS payment indicators · 92928

Coronary stenting, one artery or branch

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

92928 without 51 · national facility

$463.94

Coronary stenting, one artery or branch

92928-51 · Second procedure: 50%

$231.97

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

92928 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 92928

    Coronary stenting, one artery or branch9.75 wRVU

    Not priced

  • 92920

    Coronary angioplasty, single vessel, no stent8.14 wRVU

    Not priced

  • 92930

    Coronary stenting, two or more lesions, one artery12 wRVU

    Not priced

  • 92933

    Coronary intervention, atherectomy with stent11.64 wRVU

    Not priced

  • 92937

    Graft revascularization, single bypass-graft vessel11.02 wRVU

    Not priced

How to choose

92920Coronary angioplastySingle vessel, no stent
Use 92920 for balloon angioplasty without stent placement in one major coronary artery or branch. Stent placement, with angioplasty when performed, is reported with 92928.
92930Coronary stentingTwo or more lesions, one artery
92928 represents stenting in one major coronary artery or branch; 92930 represents stenting across two or more major arteries or branches.
92933Coronary interventionAtherectomy with stent
92933 describes coronary atherectomy with stenting in one major artery or branch. Use 92928 when stenting is performed without the atherectomy service.
92937Graft revascularizationSingle bypass-graft vessel
92937 is for percutaneous revascularization of a coronary bypass graft. 92928 describes stenting in a native major coronary artery or branch.

92928 billing questions

When should 92928 be chosen instead of 92920?

Report 92928 when a stent is placed in one major coronary artery or branch. Use 92920 for balloon angioplasty without stent placement.

Does 92928 include balloon angioplasty?

Yes. Angioplasty performed in the same treated artery or branch is included when stenting is reported with 92928.

Is 92928 reported once per stent?

No. The code represents treatment of one major coronary artery or branch, not each stent deployed. Document the treated vessel or branch and the intervention.

When is 92930 used instead?

92930 applies when stenting is performed in two or more major coronary arteries or branches. 92928 represents one artery or branch.

Can modifier 50 be reported with 92928?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Same-day preoperative and postoperative care is included in the 0-day global period.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 92928PPRRVU2026_Oct_nonQPP.csv, line 11,906 (RVU26D)

Open CMS sourceHow we calculate rates

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