No office rate
92941 applies to revascularization during an acute myocardial infarction with an acute total or subtotal occlusion. 92943 is for a chronic total occlusion in a native coronary artery.
On this page
CMS RVU26D · Effective 2026-10-01
92941 Coronary revascularization Medicare reimbursement rates in Alabama
Reports percutaneous treatment of a totally or nearly blocked coronary vessel during an acute myocardial infarction to restore blood flow. Compare 92941 office and facility rates across CMS payment localities in Alabama.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 92941 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$537.68
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Coronary intervention
About 92941: Acute myocardial infarction coronary revascularization
Reports percutaneous treatment of a totally or nearly blocked coronary vessel during an acute myocardial infarction to restore blood flow.
An interventional cardiologist uses a catheter-based approach to reopen a coronary artery or bypass graft with an acute total or subtotal occlusion during an acute myocardial infarction. The procedure may use balloon angioplasty, a stent, atherectomy, or a combination of these techniques; aspiration thrombectomy is included when performed. This is typically done in a hospital cardiac catheterization laboratory as urgent treatment of the infarction.
Report the code for one treated vessel when the record supports the acute infarction, the acute occlusion, and the intervention performed. Document the vessel and the methods used to restore flow; do not separately report the included angioplasty, stent, atherectomy, or aspiration thrombectomy for that vessel. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 92941
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.40 · 70%
- Practice expense (office) RVU2.35 · 13%
- Malpractice RVU2.90 · 16%
26.5K
Medicare services in 2024 · #1023 by national volume
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.
92941 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
92945 addresses chronic total occlusion revascularization, including in a bypass graft. Use 92941 for the specified acute-MI occlusion circumstance.
No office rate
92937 describes percutaneous revascularization of a bypass graft outside the acute-MI occlusion code's specific circumstances. 92941 is selected when its acute-MI criteria are met.
No office rate
92928 reports coronary stent placement in circumstances not captured by 92941. When stenting treats an acute total or subtotal occlusion during an acute myocardial infarction, 92941 captures the intervention.
Compare 92941 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$537.68
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92941 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
11,910
- Code
- 92941
- Physician work
- 12.40
- Practice expense
- 2.35
- Malpractice
- 2.90
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.40 | × 1.000 | 12.4000 |
| Practice expense | 2.35 | × 0.875 | 2.0562 |
| Malpractice | 2.90 | × 0.566 | 1.6414 |
| Total RVUs | 16.0977 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$537.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.4 | 1 |
| Practice expense | 2.35 | 0.875 |
| Malpractice | 2.9 | 0.566 |
(12.4 × 1 + 2.35 × 0.875 + 2.9 × 0.566) × $33.4009 = $537.68
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
92941 billing questions
When should this code be chosen instead of a standard PCI code?
Use it when percutaneous revascularization treats an acute total or subtotal coronary occlusion during an acute myocardial infarction. Standard PCI codes describe interventions outside that specific acute-MI circumstance.
Can angioplasty, stenting, and aspiration thrombectomy be reported separately?
For the vessel treated under this code, the code includes angioplasty, stent placement, and atherectomy when performed, as well as aspiration thrombectomy. Do not separately report those included techniques for that vessel.
What documentation supports reporting the code?
Document the acute myocardial infarction, the acute total or subtotal occlusion, the treated vessel, and the revascularization performed. Identify the techniques used, such as balloon treatment, stent placement, atherectomy, or aspiration thrombectomy.
Is modifier 50 appropriate, or can an assistant surgeon be paid?
Modifier 50 is inappropriate for this code. CMS assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period. CMS applies the standard multiple procedure reduction when other procedures are performed in the same session.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
11,90792930,,Prq tcat plmt ntrac st 2+les,A,,12.00,2.27,NA,2.27,,0.86,15.13,15.13,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90892933,,Prq trlml c athrc st angiop1,A,,11.64,2.20,NA,2.20,,2.73,16.57,16.57,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90992937,,Prq trluml revsc cab grf 1,A,,11.02,2.07,NA,2.07,,2.59,15.68,15.68,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91092941,,Prq trlml revsc tot occl ami,A,,12.40,2.35,NA,2.35,,2.90,17.65,17.65,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91192943,,Prq trluml revsc ch occ ant,A,,13.35,2.51,NA,2.51,,3.12,18.98,18.98,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91292945,,Prq trl rvs ch occ ant&rtrgr,A,,15.00,2.84,NA,2.84,,1.08,18.92,18.92,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91392950,,Heart/lung resuscitation cpr,A,,3.90,7.01,,0.76,,0.44,11.35,5.10,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515