Billing code 92930: Coronary stentingMedicare rate & RVUs in Washington

Reports coronary stent placement treating two or more lesions in one major coronary artery or branch during a percutaneous intervention.

CMS RVU26DEffective Oct 1, 20262 payment localities

CMS doesn’t publish an office rate for 92930 in Washington.

—Office (non-facility)
$507.72–$537.35Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92930 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Washington
  2. What 92930 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 92930 covers

An interventional cardiologist reports this service when placing intracoronary stents to treat at least two lesions within the same major coronary artery or branch. The procedure is typically performed in a cardiac catheterization laboratory; coronary angioplasty is included when performed as part of the intervention. The code’s multi-lesion scope is confined to one artery or branch, rather than lesions distributed across separate major arteries.

Use the catheterization report to support the number and locations of lesions treated and the stent placement. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, CMS pays the highest-valued procedure in full and applies a 50% reduction to the others. 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.

Where 92930 pays more and less in Washington

92930 office and facility rates by payment locality
Payment localityOfficeFacility
Rest Of WashingtonUnavailable$507.72
Seattle (King Cnty)Unavailable$537.35

How the 92930 rate is calculated

Each of 92930’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 · 92930

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 12.00Practice expense 2.27Malpractice 0.86

15.1300 adjusted RVUs×$33.4009 conversion factor=$505.36

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 92930

The CMS indicators that decide how 92930 is paid alongside other services.

CMS payment indicators · 92930

Coronary stenting

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

92930 without 51 · national facility

$505.36

Coronary stenting

92930-51 · Second procedure: 50%

$252.68

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%).

When to use modifier 51

92930 compared with similar codes

Compare codes

92930 vs 92928 vs 92933 vs 92920 vs 92924: national Medicare rates

Swap in your local Medicare rate.

  • 92930
    Coronary stenting · 12 wRVU
    —
  • 92928
    Coronary stenting · 9.75 wRVU
    —
  • 92933
    Coronary intervention · 11.64 wRVU
    —
  • 92920
    Coronary angioplasty · 8.14 wRVU
    —
  • 92924
    Coronary atherectomy · 9.88 wRVU
    —

How to choose

92928Coronary stenting
Choose 92928 when stenting treats one lesion in a major coronary artery or branch. This code covers two or more lesions within one such artery or branch.
92933Coronary intervention
92933 describes coronary atherectomy with stenting. This code is for multi-lesion stenting without that atherectomy combination.
92920Coronary angioplasty
92920 is the angioplasty service without intracoronary stent placement. Select this code when stents are placed to treat two or more lesions in one artery or branch.
92924Coronary atherectomy
92924 describes coronary atherectomy without the stenting service. When atherectomy is combined with stenting, compare the case with 92933 instead.

92930 billing questions

When should this code be selected instead of 92928?

Use this code for stent placement treating two or more lesions in one major coronary artery or branch. Code 92928 describes the single-lesion situation.

Can lesions in separate coronary arteries be combined under this code?

No. The multi-lesion scope is within one major coronary artery or branch; document the treated locations and select services based on the applicable vessel and lesion circumstances.

Is coronary angioplasty separately reported when performed with the stenting?

Angioplasty performed as part of this stent intervention is included in the service. The catheterization report should identify the treated lesions and stent placement.

Should modifier 50 be appended for treatment on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How are other procedures in the same session paid?

CMS pays the highest-valued procedure in full and reduces the other procedures by 50%. Assistant-at-surgery payment requires documentation of medical necessity.

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
RVUs for 92930PPRRVU2026_Oct_nonQPP.csv, line 11,907 (RVU26D)

Open CMS sourceHow we calculate rates

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