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CPT code 92933: Coronary intervention, atherectomy with stent2026 Medicare rate & RVUs

Reports coronary atherectomy with stent placement in one major coronary artery or branch, including balloon angioplasty when performed during the intervention.

CMS RVU26DEffective Oct 1, 2026109 payment localities12K Medicare services in 2024

Medicare pays $553.45 for 92933 nationally in a facility.

Medicare rate · 92933

Coronary intervention, atherectomy with stent

Office or facility?

Work RVUs
11.64
Total RVUs
16.57
Global days
000

National rate · 2026

$553.45

Facility setting, before claim adjustments.

See every locality for 92933 →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 92933 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 92933 covers

An interventional cardiologist uses a catheter-based technique to remove or modify obstructive coronary plaque and place an intracoronary stent in one major coronary artery or branch. A typical setting is a cardiac catheterization laboratory, where a calcified coronary lesion may be treated with atherectomy before stenting. Balloon angioplasty performed as part of that intervention is included in this service.

Report 92933 for the atherectomy-and-stent intervention in one major artery or branch; report 92934 for a qualifying additional branch. The procedure report should identify the treated artery or branch and document both atherectomy and stent placement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others 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 92933 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

92933 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$504.69
AlaskaUnavailable$711.68
ArizonaUnavailable$538.04
ArkansasUnavailable$498.87
Atlanta, GAUnavailable$574.12
Austin, TXUnavailable$548.10
Bakersfield, CAUnavailable$532.24
Baltimore area, MDUnavailable$586.65
Beaumont, TXUnavailable$540.37
Brazoria, TXUnavailable$535.84

92933 rates by state

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

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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
92933 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 92933 rate is calculated

Each of 92933’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 · 92933

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.64

11.64 RVUs× 1.000 GPCI

Practice expense2.20

2.20 RVUs× 1.000 GPCI

Malpractice2.73

2.73 RVUs× 1.000 GPCI

Adjusted RVUs

16.5700

Conversion factor

$33.4009

Medicare rate

$553.45

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

Payment rules and modifiers for 92933

The CMS indicators that decide how 92933 is paid alongside other services.

CMS payment indicators · 92933

Coronary intervention, atherectomy with stent

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

92933 without 51 · national facility

$553.45

Coronary intervention, atherectomy with stent

92933-51 · Second procedure: 50%

$276.73

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

92933 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92933

    Coronary intervention, atherectomy with stent11.64 wRVU

    Not priced

  • 92924

    Coronary atherectomy, single artery or branch9.88 wRVU

    Not priced

  • 92928

    Coronary stenting, one artery or branch9.75 wRVU

    Not priced

  • 92930

    Coronary stenting, two or more lesions, one artery12 wRVU

    Not priced

How to choose

92924Coronary atherectomySingle artery or branch
Use 92924 for coronary atherectomy without stent placement. When the same intervention includes stent placement, 92933 captures the atherectomy-and-stent combination.
92928Coronary stentingOne artery or branch
Use 92928 for stenting without atherectomy. 92933 applies when atherectomy and stenting are both performed in one major coronary artery or branch.
92930Coronary stentingTwo or more lesions, one artery
92930 covers stenting of multiple lesions without atherectomy. 92933 represents atherectomy with stenting in one major coronary artery or branch.

Codes related to 92933

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92933
CodeHow it relatesNational office range
Used instead
92924Coronary atherectomy, single artery or branchAtherectomy in one major coronary artery or branch without the stent intervention.No office rate
92928Coronary stenting, one artery or branchStenting in one major coronary artery or branch without atherectomy.No office rate
92930Coronary stenting, two or more lesions, one arteryStenting of multiple lesions without the atherectomy component.No office rate
92920Coronary angioplasty, single vessel, no stentBalloon angioplasty without the atherectomy-and-stent combination.No office rate

92933 billing questions

Can balloon angioplasty be reported separately with 92933?

No. Balloon angioplasty performed as part of the atherectomy-and-stent intervention is included in 92933.

What code applies when another major coronary branch is treated?

Use 92934 for a qualifying additional branch treated with atherectomy and stenting. The procedure report should support the additional branch intervention.

What documentation supports 92933?

Document the treated major coronary artery or branch and the performance of both atherectomy and intracoronary stent placement. Include angioplasty in the procedural documentation when performed.

Can modifier 50 be used for 92933?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does Medicare apply multiple-procedure reduction?

For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.

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 92933PPRRVU2026_Oct_nonQPP.csv, line 11,908 (RVU26D)

Open CMS sourceHow we calculate rates

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