Billing code 92928: Coronary stentingMedicare rate & RVUs in Delaware
Reports coronary stent placement, including angioplasty when performed, in one major coronary artery or branch during a percutaneous intervention.
CMS doesn’t publish an office rate for 92928 in Delaware.
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 9 sections
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.
92928 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $457.07 |
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
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
| 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
92928 without 51 · national facility
$463.94
Coronary stenting
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%).
92928 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 92920Coronary angioplasty
- 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 stenting
- 92928 represents stenting in one major coronary artery or branch; 92930 represents stenting across two or more major arteries or branches.
- 92933Coronary intervention
- 92933 describes coronary atherectomy with stenting in one major artery or branch. Use 92928 when stenting is performed without the atherectomy service.
- 92937Graft revascularization
- 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
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