CPT code 92943: CTO PCI, antegrade approach2026 Medicare rate & RVUs in Mississippi
Reports antegrade percutaneous treatment of a chronic total occlusion in one coronary vessel, including the revascularization methods used in that vessel.
In Mississippi, Medicare pays $595.10 for 92943 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 92943 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 92943 covers
An interventional cardiologist performs this procedure in a cardiac catheterization lab to reopen a chronically and completely occluded coronary vessel using an antegrade crossing approach. The intervention may include balloon angioplasty, atherectomy, or stent placement as needed to restore flow in the treated vessel. Hospital outpatient and inpatient cath lab settings are typical.
Select the code for a chronic total occlusion treated antegrade in one vessel; use the approach and target vessel documented in the procedure report to distinguish it from other coronary intervention codes. The report should identify the occlusion, the vessel treated, the crossing approach, and the revascularization performed. Angioplasty, atherectomy, and stenting in that same vessel are included in the CTO service. The 0-day global period includes same-day preoperative and postoperative care. 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. 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.
How Mississippi compares for 92943
Across 109 of 109 payment localities, the facility rate for 92943 runs from $558.31 in Wisconsin to $815.56 in Alaska. Mississippi pays $595.10. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$595.10
- Los Angeles, CA · California$632.56+$37.46
- Washington, DC area · District of Columbia$684.73+$89.63
- Miami, FL · Florida$796.72+$201.62
- Chicago, IL · Illinois$772.44+$177.34
- Manhattan, NY · New York$737.14+$142.04
- Alaska · Alaska$815.56+$220.46
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $578.24 |
| ArkansasArkansas | — | $571.59 |
| ArizonaArizona | — | $616.34 |
| Bakersfield, CACalifornia | — | $609.72 |
| Chico, CACalifornia | — | $601.22 |
| El Centro, CACalifornia | — | $601.74 |
| Fresno, CACalifornia | — | $601.22 |
| Hanford, CACalifornia | — | $601.22 |
| Madera, CACalifornia | — | $601.22 |
| Merced, CACalifornia | — | $601.22 |
| Modesto, CACalifornia | — | $601.22 |
| Napa, CACalifornia | — | $637.43 |
| Oxnard, CACalifornia | — | $622.41 |
| Redding, CACalifornia | — | $601.22 |
| Rest of CaliforniaCalifornia | — | $601.22 |
| Riverside, CACalifornia | — | $634.70 |
| Sacramento, CACalifornia | — | $615.31 |
| Salinas, CACalifornia | — | $612.75 |
| San Diego, CACalifornia | — | $616.03 |
| Marin County, CACalifornia | — | $654.30 |
| San Francisco, CACalifornia | — | $650.76 |
| San Benito County, CACalifornia | — | $671.70 |
| Santa Clara County, CACalifornia | — | $657.21 |
| San Luis Obispo, CACalifornia | — | $604.83 |
| Santa Cruz, CACalifornia | — | $612.98 |
| Santa Maria, CACalifornia | — | $612.00 |
| Santa Rosa, CACalifornia | — | $618.09 |
| Stockton, CACalifornia | — | $601.22 |
| Vallejo, CACalifornia | — | $632.32 |
| Visalia, CACalifornia | — | $601.22 |
| Yuba City, CACalifornia | — | $601.22 |
| ColoradoColorado | — | $621.84 |
| ConnecticutConnecticut | — | $671.21 |
| DelawareDelaware | — | $624.65 |
| Fort Lauderdale, FLFlorida | — | $719.24 |
| Rest of FloridaFlorida | — | $682.68 |
| Atlanta, GAGeorgia | — | $657.57 |
| Rest of GeorgiaGeorgia | — | $644.90 |
| Hawaii, Guam, HIHawaii | — | $601.56 |
| IowaIowa | — | $563.98 |
| IdahoIdaho | — | $572.32 |
| East St. Louis, ILIllinois | — | $732.91 |
| Rest of IllinoisIllinois | — | $685.33 |
| Suburban Chicago, ILIllinois | — | $719.78 |
| IndianaIndiana | — | $574.26 |
| KansasKansas | — | $574.21 |
| KentuckyKentucky | — | $615.79 |
| New Orleans, LALouisiana | — | $643.18 |
| Rest of LouisianaLouisiana | — | $619.93 |
| Metropolitan Boston, MAMassachusetts | — | $657.03 |
| Rest of MassachusettsMassachusetts | — | $624.37 |
| Baltimore area, MDMaryland | — | $671.90 |
| Rest of MarylandMaryland | — | $630.87 |
| Rest of MaineMaine | — | $587.85 |
| Southern Maine, MEMaine | — | $594.74 |
| Detroit, MIMichigan | — | $702.50 |
| Rest of MichiganMichigan | — | $640.10 |
| MinnesotaMinnesota | — | $563.02 |
| Metropolitan Kansas City, MOMissouri | — | $626.44 |
| Metropolitan St. Louis, MOMissouri | — | $630.13 |
| Rest of MissouriMissouri | — | $619.67 |
| MontanaMontana | — | $633.74 |
| North CarolinaNorth Carolina | — | $590.71 |
| North DakotaNorth Dakota | — | $572.05 |
| NebraskaNebraska | — | $562.67 |
| New HampshireNew Hampshire | — | $624.36 |
| Northern New JerseyNew Jersey | — | $682.54 |
| Rest of New JerseyNew Jersey | — | $669.61 |
| New MexicoNew Mexico | — | $647.94 |
| NevadaNevada | — | $616.63 |
| NYC suburbs and Long Island, NYNew York | — | $767.64 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $683.86 |
| Queens, NYNew York | — | $723.81 |
| Rest of New YorkNew York | — | $598.81 |
| OhioOhio | — | $627.49 |
| OklahomaOklahoma | — | $601.74 |
| Portland, OROregon | — | $623.71 |
| Rest of OregonOregon | — | $602.66 |
| Metropolitan Philadelphia, PAPennsylvania | — | $665.53 |
| Rest of PennsylvaniaPennsylvania | — | $621.34 |
| Puerto RicoPuerto Rico | — | $633.31 |
| Rhode IslandRhode Island | — | $633.93 |
| South CarolinaSouth Carolina | — | $611.95 |
| South DakotaSouth Dakota | — | $564.75 |
| TennesseeTennessee | — | $578.07 |
| Austin, TXTexas | — | $627.82 |
| Beaumont, TXTexas | — | $619.00 |
| Brazoria, TXTexas | — | $613.84 |
| Dallas, TXTexas | — | $622.83 |
| Fort Worth, TXTexas | — | $623.35 |
| Galveston, TXTexas | — | $619.01 |
| Houston, TXTexas | — | $676.11 |
| Rest of TexasTexas | — | $619.56 |
| UtahUtah | — | $618.29 |
| VirginiaVirginia | — | $601.89 |
| Virgin Islands, VIUnited States Virgin Islands | — | $633.31 |
| VermontVermont | — | $581.63 |
| Rest of WashingtonWashington | — | $619.28 |
| King County, WAWashington | — | $656.20 |
| WisconsinWisconsin | — | $558.31 |
| West VirginiaWest Virginia | — | $667.88 |
| WyomingWyoming | — | $606.85 |
92943 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 92943 rate is calculated
Each of 92943’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 · 92943
RVUs × geographic indexes × conversion factor
Work13.35
13.35 RVUs× 1.000 GPCI
Practice expense2.51
2.51 RVUs× 1.000 GPCI
Malpractice3.12
3.12 RVUs× 1.000 GPCI
Adjusted RVUs
18.9800
Conversion factor
$33.4009
Medicare rate
$633.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,911
- Code
- 92943
- Physician work
- 13.35
- Practice expense
- 2.51
- Malpractice
- 3.12
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.35 | × 1.000 | 13.3500 |
| Practice expense | 2.51 | × 0.861 | 2.1611 |
| Malpractice | 3.12 | × 0.739 | 2.3057 |
| Total RVUs | 17.8168 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$595.10
Facility: (13.35 × 1 + 2.51 × 0.861 + 3.12 × 0.739) × $33.4009 = $595.10
Payment rules and modifiers for 92943
The CMS indicators that decide how 92943 is paid alongside other services.
CMS payment indicators · 92943
CTO PCI, antegrade approach
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
92943 without 51 · national facility
$633.95
CTO PCI, antegrade approach
92943-51 · Second procedure: 50%
$316.98
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%).
How 92943 has changed in Mississippi
92943 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $595.10 | RVU26D |
| 2026-07-01 | Not available in this setting | $595.10 | RVU26C |
| 2026-04-01 | Not available in this setting | $595.10 | RVU26B |
| 2026-01-01 | Not available in this setting | $595.10 | RVU26A |
| 2025-10-01 | Not available in this setting | $584.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $584.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $584.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $584.40 | RVU25A |
| 2024-10-01 | Not available in this setting | $600.21 | RVU24D |
| 2024-07-01 | Not available in this setting | $600.21 | RVU24C |
| 2024-04-01 | Not available in this setting | $600.21 | RVU24B |
| 2024-03-09 | Not available in this setting | $600.21 | RVU24AR |
| 2024-01-01 | Not available in this setting | $590.41 | RVU24A |
| 2023-10-01 | Not available in this setting | $605.13 | RVU23D |
| 2023-07-01 | Not available in this setting | $605.13 | RVU23C |
| 2023-04-01 | Not available in this setting | $605.13 | RVU23B |
| 2023-01-01 | Not available in this setting | $605.13 | RVU23A |
| 2022-10-01 | Not available in this setting | $616.37 | RVU22D |
| 2022-07-01 | Not available in this setting | $616.37 | RVU22C |
| 2022-04-01 | Not available in this setting | $616.37 | RVU22B |
| 2022-01-01 | Not available in this setting | $616.37 | RVU22A |
| 2021-10-01 | Not available in this setting | $619.43 | RVU21D |
| 2021-07-01 | Not available in this setting | $619.43 | RVU21C |
| 2021-04-01 | Not available in this setting | $619.43 | RVU21B |
| 2021-01-01 | Not available in this setting | $619.43 | RVU21A |
| 2020-10-01 | Not available in this setting | $626.39 | RVU20D |
| 2020-07-01 | Not available in this setting | $626.39 | RVU20C |
| 2020-04-01 | Not available in this setting | $626.39 | RVU20B |
| 2020-01-01 | Not available in this setting | $626.39 | RVU20A |
| 2019-10-01 | Not available in this setting | $614.14 | RVU19D |
| 2019-07-01 | Not available in this setting | $614.14 | RVU19C |
| 2019-04-01 | Not available in this setting | $614.14 | RVU19B |
| 2019-01-01 | Not available in this setting | $614.14 | RVU19A |
| 2018-10-01 | Not available in this setting | $612.80 | RVU18D |
| 2018-07-01 | Not available in this setting | $612.80 | RVU18C |
| 2018-04-01 | Not available in this setting | $612.80 | RVU18B |
| 2018-01-01 | Not available in this setting | $612.80 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $623.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $623.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $623.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $623.34 | RVU17A |
| 2016-10-01 | Not available in this setting | $645.75 | RVU16D |
| 2016-07-01 | Not available in this setting | $645.75 | RVU16C |
| 2016-04-01 | Not available in this setting | $645.75 | RVU16B |
| 2016-01-01 | Not available in this setting | $645.75 | RVU16A |
| 2015-10-01 | Not available in this setting | $646.45 | RVU15D |
| 2015-07-01 | Not available in this setting | $646.45 | RVU15C |
| 2015-04-01 | Not available in this setting | $643.23 | RVU15B |
| 2015-01-01 | Not available in this setting | $643.23 | RVU15A |
| 2014-10-01 | Not available in this setting | $648.52 | RVU14D |
| 2014-07-01 | Not available in this setting | $648.52 | RVU14C |
| 2014-04-01 | Not available in this setting | $648.52 | RVU14B |
| 2014-01-01 | Not available in this setting | $648.52 | RVU14A |
| 2013-10-01 | Not available in this setting | $633.77 | RVU13D |
| 2013-07-01 | Not available in this setting | $633.77 | RVU13C |
| 2013-04-01 | Not available in this setting | $633.77 | RVU13B |
| 2013-01-01 | Not available in this setting | $633.77 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
92943 billing questions
When should this code be chosen instead of 92945?
Use this code when the CTO is treated through an antegrade approach. Code 92945 is for CTO revascularization using both antegrade and retrograde approaches.
Can angioplasty or stenting in the treated vessel be billed separately?
No. Angioplasty, atherectomy, and stenting performed as part of revascularizing the same CTO vessel are included in this service.
How many units should be reported?
Report one unit for the treated coronary vessel. Document the vessel and antegrade crossing approach in the procedure report.
How does the multiple procedure reduction affect this code?
For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. 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
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