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CPT 92933: Coronary Atherectomy with Stent and Angioplasty
CPT code 92933 defines a percutaneous coronary intervention combining atherectomy with intracoronary stent placement, and may include adjunctive balloon angioplasty, performed in a single major coronary artery or its branches. This procedure is a key interventional option for managing obstructive coronary artery disease and acute coronary syndromes when plaque burden or lesion characteristics make plaque debulking advantageous. Nationally, use of this code reflects advanced catheter-based revascularization in interventional cardiology programs and has implications for hospital procedural mix, resource allocation, and payer coverage policies.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and the scope of the procedure. The publication outlines how this code relates to adjacent coronary revascularization codes, common ICD-10 principal diagnoses used to support medical necessity, and expected care settings. It also summarizes typical billing modifiers and associated provider taxonomies for interventional cardiology and cardiovascular specialists.
This resource is intended to clarify the clinical intent of CPT code 92933, its role within percutaneous coronary revascularization services, and the payer landscape relevant to national billing and coding practices.
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Billing Code Overview
CPT code 92933 describes a percutaneous coronary intervention that uses atherectomy to remove arterial plaque followed by intracoronary stent placement, with or without balloon angioplasty, performed in a single major coronary artery and/or its branches. This procedure is a percutaneous, catheter-based revascularization technique.
Service type: Percutaneous transluminal coronary atherectomy with stent and angioplasty.
Typical site of service: Hospital inpatient or outpatient cardiac catheterization laboratory / interventional cardiology suite.
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.