CPT code 92941: Coronary revascularization2026 Medicare rate & RVUs in Ohio
Reports percutaneous treatment of a totally or nearly blocked coronary vessel during an acute myocardial infarction to restore blood flow.
CMS doesn’t publish an office rate for 92941 in Ohio.
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 92941 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $583.47 |
How the 92941 rate is calculated
Each of 92941’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 · 92941
RVUs × geographic indexes × conversion factor
Work12.40
12.40 RVUs× 1.000 GPCI
Practice expense2.35
2.35 RVUs× 1.000 GPCI
Malpractice2.90
2.90 RVUs× 1.000 GPCI
Adjusted RVUs
17.6500
Conversion factor
$33.4009
Medicare rate
$589.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92941
The CMS indicators that decide how 92941 is paid alongside other services.
CMS payment indicators · 92941
Coronary revascularization
| 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
92941 without 51 · national facility
$589.53
Coronary revascularization
92941-51 · Second procedure: 50%
$294.77
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%).
92941 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 92943CTO PCI
- 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.
- 92945CTO revascularization
- 92945 addresses chronic total occlusion revascularization, including in a bypass graft. Use 92941 for the specified acute-MI occlusion circumstance.
- 92937Graft revascularization
- 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.
- 92928Coronary stenting
- 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.
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 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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