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CPT 92941: Percutaneous Coronary Revascularization for STEMI, Single Vessel
Headline: CPT code 92941 drives acute revascularization for single-vessel ST-elevation myocardial infarction
Lead: CPT code 92941 defines a percutaneous coronary intervention (PCI) used to rapidly restore flow in a completely or nearly occluded coronary artery or bypass graft during an acute ST-elevation myocardial infarction (STEMI). The procedure—performed in a cardiac catheterization laboratory—may include angioplasty, stent placement, atherectomy, and manual aspiration thrombectomy for a single major coronary artery or bypass graft.
CPT code 92941 matters nationally because timely PCI for STEMI is a key quality measure tied to outcomes and utilization across hospitals. Payers included in typical coverage and benchmarking reviews are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. This code is central to emergency cardiovascular care workflows, hospital quality reporting, and inpatient reimbursement pathways.
Readers will learn: a concise clinical and billing definition of 92941; the typical service setting and clinical context for STEMI-related single-vessel PCI; how this code relates to neighboring PCI codes for bypass grafts and chronic total occlusion; and which major national payers commonly cover the service. The summary also highlights where to find related procedural codes for additional vessels or chronic total occlusion scenarios. Data not available in the input for payer-specific rates, denials, or utilization benchmarks.
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Billing Code Overview
CPT code 92941 describes a percutaneous coronary intervention performed to restore blood flow in a completely or nearly occluded coronary vessel causing an acute myocardial infarction. The procedure involves insertion of a catheter through the skin (percutaneous approach) and guidance into a coronary artery or a coronary artery bypass graft to perform revascularization using angioplasty, stent placement, and/or atherectomy; manual aspiration thrombectomy may also be performed when indicated. This code applies to a single major coronary artery and/or its branches or to a single bypass graft and/or its subtended branches.
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Service type: Percutaneous coronary revascularization for acute myocardial infarction
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Typical site of service: Hospital catheterization laboratory (inpatient or emergency department-to-OR transfer as clinically indicated)
National Reimbursement Benchmarks
Medicare's mean rate of $590.40 sits well below the BUCA average commercial mean of $8,143.60, illustrating a substantial gap between government and commercial benchmarks for CPT 92941. BUCA’s mean aligns with higher commercial medians such as Blue Cross Blue Shield and UnitedHealth Group, indicating that average commercial reimbursement levels can be an order of magnitude above Medicare for this code.
Examining dispersion (P75 minus P25) highlights where commercial markets are tight or wide: Blue Cross Blue Shield has the widest interquartile spread at $4,936.80 (P75 $16,196.40 minus P25 $11,259.60), followed by BUCA with $3,093.30 (P75 $9,826.50 minus P25 $6,733.20). Aetna and Cigna show narrower spreads of $577.00 and $666.00 respectively, while UnitedHealth Group’s spread is $650.00, indicating relatively tighter clustering among those payers compared with BCBS and BUCA.