CPT 92933: Percutaneous Coronary Atherectomy with Stent Placement

Medicare pays $554 and commercial payers pay $5932 on average nationally for this procedure.

CPT code 92933 describes a percutaneous coronary revascularization procedure in which a catheter is inserted through the skin and guided into a major coronary artery (or its branches) to perform atherectomy (plaque removal) followed by intracoronary stent placement, with or without balloon angioplasty; service type: percutaneous coronary intervention (PCI); typical site of service: cardiac catheterization laboratory or interventional cardiology suite in a hospital or ambulatory surgical center.

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National Reimbursement Benchmarks

Nationwide, Medicare's mean reimbursement for CPT 92933 sits at $554.20, substantially lower than the BUCA commercial average of $5,932.10, highlighting a large gulf between federal payment levels and average negotiated commercial rates. Blue Cross Blue Shield and UnitedHealth Group show high mean levels near the upper end of commercial payers, while Aetna and Cigna fall closer to Medicare on the lower-middle of the spectrum.

Dispersion (P75 minus P25) varies markedly: Blue Cross Blue Shield has the widest interquartile spread at $10,020.00 ($13,454.20 - $3,434.90), followed by UnitedHealth Group at $6,651.00 ($1,424.00 - $758.90) and BUCA at $5,982.30 ($8,207.20 - $2,224.90). Aetna and Cigna are the tightest, with spreads of $497.40 ($775.10 - $328.70) and $666.10 ($1,434.50 - $747.40) respectively, indicating more consistent commercial pricing among those payers.

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CPT 92933: Percutaneous Coronary Atherectomy with Stent Placement

Medicare pays $554 and commercial payers pay $5932 on average nationally for this procedure.

Customize your policy alerts

Sign up for cpt 92933 policy alerts

Get alerted when payer policies referencing 92933 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A 68-year-old male with known coronary artery disease presents to the hospital with worsening exertional chest pain and new onset unstable angina. Noninvasive testing and coronary angiography demonstrate a critical, calcified lesion in the proximal left anterior descending artery with significant flow limitation. The interventional cardiology team performs percutaneous access, advances a guide catheter to the coronary ostium, performs atherectomy to debulk calcified plaque, conducts balloon angioplasty as needed, and deploys one or more intracoronary stents to restore lumen patency. The procedure is performed in a cardiac catheterization laboratory under conscious sedation or monitored anesthesia care, with continuous hemodynamic and electrocardiographic monitoring. Postprocedure, the patient is observed in a recovery area or coronary care unit for access site monitoring, antiplatelet management, and assessment for complications such as bleeding, vessel dissection, or acute myocardial infarction. Typical documentation includes indication, access site, devices used (atherectomy device, balloons, stent make/size), number of vessels/branches treated, fluoroscopy time, contrast volume, and any complications or additional procedures.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92928`	Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch	Primary stent placement code for single-vessel stenting without atherectomy; may be used when stent placement is performed without atherectomy component.
`92934`	Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)	Add-on code used to report each additional branch treated with atherectomy plus stent when multiple branches beyond the primary vessel are intervened upon.
`92937`	Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel	Used when similar revascularization procedures are performed on coronary artery bypass grafts rather than native coronary arteries; relevant when graft anatomy is the target rather than native vessel.

Related Modifiers

9 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
66	Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…	- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…
51	Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…	- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RC0000X	Cardiovascular Disease Physician	An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threaten…
207RI0011X	Interventional Cardiology Physician	An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and p…
207RG0300X	Geriatric Medicine (Internal Medicine) Physician	An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects o…
251G00000X	Community Based Hospice Care Agency	Agencies · Hospice Care, Community Based
331L00000X	Blood Bank	An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage an…
174400000X	Specialist	An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond…
225CA2500X	Assistive Technology Supplier Rehabilitation Counselor	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Rehabilitation Counselor
225X00000X	Occupational Therapist	An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for O…

Related ICD-10-CM Codes

5 rows

ICD-10-CM Code	Description
I20.0	Unstable angina
I25.10	Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110	Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.119	Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
I21.9	Acute myocardial infarction, unspecified

Related Payer Policy Updates

Specialty: Cardiology1 / 3

10 rows

Policy	Payer	Effective Date
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)	univerahealthcare	2026-10-15
Cardiovascular Disease Risk Assessment	Oscar Health	2026-10-01
Biomarkers for Myocardial Infarction and Chronic Heart Failure	Oscar Health	2026-10-01
Multiple Procedure Payment Reduction for Diagnostic Cardiovascular Procedures	Blue Cross Blue Shield - Maine	2026-10-01
Cardiovascular Disease Risk Assessment	blue cross blue shield - louisiana	2026-09-15
Cardiovascular Disease Risk Assessment	Blue Cross Blue Shield - New Mexico	2026-09-04
Computed Tomography to Detect Coronary Artery Calcification	Bluecross Idaho	2026-09-01
Intracoronary Drug Delivery Balloon Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Cardiac Imaging Guidelines	evicore	2026-09-01
Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention	Ambetter Georgia	2026-08-26

CPT 92920: Percutaneous Transluminal Coronary Angioplasty, Single Major Coronary Artery

CPT-92928-PERCUTANEOUS-CORONARY-STENT-PLACEMENT-SINGLE-VESSEL

CPT 92928: Percutaneous Coronary Stent Placement, Single Major Artery

CPT-92930-MULTILESION-BIFURCATION-PERCUTANEOUS-CORONARY-INTERVENTION

CPT 92930: Percutaneous Coronary Intervention for Multiple or Bifurcation Lesions

CPT-92937-PERCUTANEOUS-REVASCULARIZATION-CORONARY-BYPASS-GRAFT

CPT 92937: Percutaneous Revascularization of Coronary Bypass Graft

CPT-92941-PERCUTANEOUS-CORONARY-REVASCULARIZATION-STEMI-SINGLE-VESSEL

CPT 92941: Percutaneous Revascularization for Acute Myocardial Infarction

CPT-92943-PERCUTANEOUS-CT0-ANTEGRADE-CORONARY-RECANALIZATION

CPT 92943: Percutaneous Coronary CTO Recanalization, Antegrade

CPT-92972-PERCUTANEOUS-CORONARY-LITHOTRIPSY-ADD-ON

CPT 92972: Percutaneous Coronary Lithotripsy, Add-on

CPT-92979-INTRAVASCULAR-IMAGING-ADD-ON-CORONARY-VESSEL

CPT 92979: Intravascular Imaging of Additional Coronary Vessel

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92928`	Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch	Primary stent placement code for single-vessel stenting without atherectomy; may be used when stent placement is performed without atherectomy component.
`92934`	Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)	Add-on code used to report each additional branch treated with atherectomy plus stent when multiple branches beyond the primary vessel are intervened upon.
`92937`	Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel	Used when similar revascularization procedures are performed on coronary artery bypass grafts rather than native coronary arteries; relevant when graft anatomy is the target rather than native vessel.

Related Modifiers

9 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
66	Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…	- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…
51	Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…	- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RC0000X	Cardiovascular Disease Physician	An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threaten…
207RI0011X	Interventional Cardiology Physician	An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and p…
207RG0300X	Geriatric Medicine (Internal Medicine) Physician	An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects o…
251G00000X	Community Based Hospice Care Agency	Agencies · Hospice Care, Community Based
331L00000X	Blood Bank	An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage an…
174400000X	Specialist	An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond…
225CA2500X	Assistive Technology Supplier Rehabilitation Counselor	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Rehabilitation Counselor
225X00000X	Occupational Therapist	An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for O…

Related ICD-10-CM Codes

5 rows

ICD-10-CM Code	Description
I20.0	Unstable angina
I25.10	Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110	Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.119	Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
I21.9	Acute myocardial infarction, unspecified

Related Payer Policy Updates

Specialty: Cardiology1 / 3

10 rows

Policy	Payer	Effective Date
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)	univerahealthcare	2026-10-15
Cardiovascular Disease Risk Assessment	Oscar Health	2026-10-01
Biomarkers for Myocardial Infarction and Chronic Heart Failure	Oscar Health	2026-10-01
Multiple Procedure Payment Reduction for Diagnostic Cardiovascular Procedures	Blue Cross Blue Shield - Maine	2026-10-01
Cardiovascular Disease Risk Assessment	blue cross blue shield - louisiana	2026-09-15
Cardiovascular Disease Risk Assessment	Blue Cross Blue Shield - New Mexico	2026-09-04
Computed Tomography to Detect Coronary Artery Calcification	Bluecross Idaho	2026-09-01
Intracoronary Drug Delivery Balloon Procedures	Blue Cross Blue Shield - Rhode Island	2026-09-01
Cardiac Imaging Guidelines	evicore	2026-09-01
Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention	Ambetter Georgia	2026-08-26

CPT 92920: Percutaneous Transluminal Coronary Angioplasty, Single Major Coronary Artery

CPT-92928-PERCUTANEOUS-CORONARY-STENT-PLACEMENT-SINGLE-VESSEL

CPT 92928: Percutaneous Coronary Stent Placement, Single Major Artery

CPT-92930-MULTILESION-BIFURCATION-PERCUTANEOUS-CORONARY-INTERVENTION

CPT 92930: Percutaneous Coronary Intervention for Multiple or Bifurcation Lesions

CPT-92937-PERCUTANEOUS-REVASCULARIZATION-CORONARY-BYPASS-GRAFT

CPT 92937: Percutaneous Revascularization of Coronary Bypass Graft

CPT-92941-PERCUTANEOUS-CORONARY-REVASCULARIZATION-STEMI-SINGLE-VESSEL

CPT 92941: Percutaneous Revascularization for Acute Myocardial Infarction

CPT-92943-PERCUTANEOUS-CT0-ANTEGRADE-CORONARY-RECANALIZATION

CPT 92943: Percutaneous Coronary CTO Recanalization, Antegrade

CPT-92972-PERCUTANEOUS-CORONARY-LITHOTRIPSY-ADD-ON

CPT 92972: Percutaneous Coronary Lithotripsy, Add-on

CPT-92979-INTRAVASCULAR-IMAGING-ADD-ON-CORONARY-VESSEL

CPT 92979: Intravascular Imaging of Additional Coronary Vessel

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 92933: Percutaneous Coronary Atherectomy with Stent Placement

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National Reimbursement Benchmarks

OpenPayer

CPT 92933: Percutaneous Coronary Atherectomy with Stent Placement

Sign up for cpt 92933 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

CPT 92933: Percutaneous Coronary Atherectomy with Stent Placement

Sign up for cpt 92933 policy alerts

National Reimbursement Benchmarks

CPT 92933: Percutaneous Coronary Atherectomy with Stent Placement

Sign up for cpt 92933 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What clinical procedure does CPT 92933 describe and where is it typically performed?

What procedure documentation is typically required to support billing for 92933?

Which modifiers are commonly used with CPT 92933 and when are they indicated?

What reimbursement benchmarks and payer variation are reported for CPT 92933?

Which related CPT codes should be considered when coding coronary revascularization procedures alongside 92933?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What clinical procedure does CPT 92933 describe and where is it typically performed?

What procedure documentation is typically required to support billing for 92933?

Which modifiers are commonly used with CPT 92933 and when are they indicated?

What reimbursement benchmarks and payer variation are reported for CPT 92933?

Which related CPT codes should be considered when coding coronary revascularization procedures alongside 92933?

References