No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
92928 Coronary stenting Medicare reimbursement rates in Pennsylvania
Reports coronary stent placement, including angioplasty when performed, in one major coronary artery or branch during a percutaneous intervention. Compare 92928 office and facility rates across CMS payment localities in Pennsylvania.
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 92928 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$454.67–$487.15
2 of 2 localities have a supported rate.
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 92928: Intracoronary stent placement, one vessel
Reports coronary stent placement, including angioplasty when performed, in one major coronary artery or branch during a percutaneous intervention.
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.
CMS billing rules for 92928
- 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 RVU9.75 · 70%
- Practice expense (office) RVU1.84 · 13%
- Malpractice RVU2.30 · 17%
189K
Medicare services in 2024 · #398 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.
92928 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
92928 represents stenting in one major coronary artery or branch; 92930 represents stenting across two or more major arteries or branches.
No office rate
92933 describes coronary atherectomy with stenting in one major artery or branch. Use 92928 when stenting is performed without the atherectomy service.
No office rate
92937 is for percutaneous revascularization of a coronary bypass graft. 92928 describes stenting in a native major coronary artery or branch.
Compare 92928 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$487.15
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$454.67
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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 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.
11,90392700,,Unlisted orl service/px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90492920,,Prq trluml c angiop 1art&/br,A,,8.14,1.54,NA,1.54,,1.91,11.59,11.59,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90592924,,Prq trluml c athrc 1 art&/br,A,,9.88,1.86,NA,1.86,,2.31,14.05,14.05,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90692928,,Prq tcat plmt ntrac st 1 les,A,,9.75,1.84,NA,1.84,,2.30,13.89,13.89,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90792930,,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