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CPT 92928: Percutaneous Coronary Stent Placement, Single Vessel
CPT code 92928 represents percutaneous transcatheter placement of intracoronary stent(s) with coronary angioplasty when performed for a single major coronary artery or its branches for a single lesion. This code captures a common, high-impact interventional cardiology procedure used to treat coronary artery disease and acute coronary syndromes. Nationally, procedures coded with 92928 drive significant resource use in catheterization laboratories and are central to hospital cardiovascular service lines and quality reporting.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find an overview of clinical indications and service settings, typical coding relationships and related add-on procedures, common billing considerations, and payer coverage patterns. The publication summarizes benchmarking context for utilization and reimbursement where available and flags coding relationships to associated add-on and separate codes relevant to interventional coronary procedures.
The content provides clinicians, coding professionals, and revenue cycle stakeholders with concise clinical context for proper application of CPT code 92928, highlights the common clinical scenarios that map to this code, and outlines what to review when validating claims for single-vessel stent placement. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 92928 describes a percutaneous transcatheter placement of an intracoronary stent with coronary angioplasty when performed for treatment in a single major coronary artery and/or one or more of its branches for a single lesion involving one or more coronary segments. The procedure is performed via a percutaneous approach in which a catheter is inserted through the skin and guided into the coronary arteries, with deployment of one or more stents and possible balloon angioplasty to restore blood flow.
Service type: Percutaneous coronary intervention (PCI) with stent placement
Typical site of service: Cardiac catheterization laboratory or interventional cardiology suite, commonly performed in an inpatient or outpatient hospital setting depending on clinical context.
National Reimbursement Benchmarks
National benchmarks for CPT 92928 show a clear gap between Medicare and the BUCA commercial aggregate. Medicare’s mean rate is $464.5, while BUCA’s mean commercial rate is $5,899.8, indicating commercial averages are roughly an order of magnitude higher than Medicare for this code. This contrast highlights the wide separation between government and commercial reimbursement on a national level.
Dispersion measured by the interquartile range (P75 − P25) varies notably across payers. Blue Cross Blue Shield has the widest IQR at $9,690.0, followed by BUCA at $5,828.6; Aetna and UnitedHealth Group show moderate dispersion at $831.1 and $599.0 respectively. Cigna is among the tightest with an IQR of $620.6, and Medicare’s IQR is narrow at $36.0, reflecting relatively consistent regional Medicare rates.