CPT 92950: Cardiopulmonary Resuscitation (CPR) Attempt

Medicare pays $392 and commercial payers pay $474 on average nationally for this procedure.

CPT code 92950 describes an emergency procedure to attempt to restart circulation and breathing in a patient with cardiopulmonary arrest, providing cardiopulmonary resuscitation (CPR) to restore oxygenation and perfusion; service type: emergency resuscitation; typical site of service: emergency department or out-of-hospital emergency setting.

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National Reimbursement Benchmarks

Nationally, Medicare’s mean allowed rate for CPT 92950 sits at $391.80, which is modestly lower than BUCA’s average commercial mean of $474.20. That gap of $82.40 reflects a common difference between Medicare and an average commercial plan baseline; Medicare’s central tendency (P50 $388) is close to its mean, indicating a compact central cluster around the mid-$300s, while BUCA’s median (P50 $439.10) sits above Medicare’s mean, signaling higher typical commercial reimbursements for this procedure.

Dispersion varies materially across payers when measured as P75 minus P25: Blue Cross Blue Shield has a range of $224.00 ($656.00 - $423.20), UnitedHealth Group shows $275.10 ($561.20 - $286.10), Cigna posts $257.40 ($529.40 - $257.50), Aetna is $180.00 ($354.00 - $174.00), and BUCA’s interquartile span is $236.90 ($581.20 - $344.30). The tightest IQR is Aetna at $180.00 and the widest is UnitedHealth Group at $275.10, indicating the greatest mid-distribution variability among the major commercial payers.

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CPT 92950: Cardiopulmonary Resuscitation (CPR) Attempt

Medicare pays $392 and commercial payers pay $474 on average nationally for this procedure.

Customize your policy alerts

Sign up for cpt 92950 policy alerts

Get alerted when payer policies referencing 92950 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 62-year-old male with known ischemic cardiomyopathy collapses at home and is brought to the emergency department by EMS with no palpable pulse and apnea. The ED team initiates immediate cardiopulmonary resuscitation (CPR) and advanced cardiac life support (ACLS) protocols, including chest compressions, bag-mask ventilation, application of a defibrillator, administration of epinephrine, and advanced airway management. The provider documents cardiopulmonary arrest and performs the life‑saving procedure described by CPT 92950 to attempt to restart cardiac and respiratory function. Simultaneous workflow steps include rapid assessment, chest compressions, defibrillation if indicated for shockable rhythms, airway placement (endotracheal tube or supraglottic device), medication administration, and continuous monitoring of cardiac rhythm and oxygenation. If return of spontaneous circulation (ROSC) is achieved, the team transitions to post–resuscitation care, including stabilization, targeted temperature management if indicated, arterial blood gas evaluation, and admission to the intensive care unit. If ROSC is not achieved in the ED, documentation supports continued resuscitative efforts, termination decisions per local protocol, and communication with the family.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99291`	Critical care, evaluation and management of the critically ill or critically injured patient; first 30–74 minutes	Often reported in conjunction with `92950` when the clinician provides critical care services during or immediately after resuscitation; documentation must support time and critical care medical decision-making.

Related Modifiers

9 rows

Modifier	Description	When to Use
25	CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…	- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
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…
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…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
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…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
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…
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
273R00000X	Psychiatric Hospital Unit	In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for dia…
363LP0808X	Psychiatric/Mental Health Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
341800000X	Military/U.S. Coast Guard Transport	Transportation Services · Military/U.S. Coast Guard Transport
261QU0200X	Urgent Care Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
213EP1101X	Primary Podiatric Medicine Podiatrist	Podiatric Medicine & Surgery Service Providers · Podiatrist

Related ICD-10-CM Codes

24 rows

ICD-10-CM Code	Description
A41.9	Sepsis, unspecified organism
E85.9	Amyloidosis, unspecified
F03.90	Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
G40.909	Epilepsy, unspecified, not intractable, without status epilepticus
G45.9	Transient cerebral ischemic attack, unspecified
G93.1	Anoxic brain damage, not elsewhere classified
I21.3	ST elevation (STEMI) myocardial infarction of unspecified site
I21.9	Acute myocardial infarction, unspecified
I46.2	Cardiac arrest due to underlying cardiac condition
I46.8	Cardiac arrest due to other underlying condition

Showing 1–10 of 24

Related Payer Policy Updates

Specialty: Cardiology1 / 2

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 92953: Cardiac Pacing by Transcardiac Electrical Stimulation

CPT-92960-EXTERNAL-ELECTRICAL-CARDIOVERSION

CPT 92960: External Cardioversion/Defibrillation for Arrhythmia

CPT-92961-ELECTRICAL-CARDIOVERSION-WITH-IV-MEDICATION

CPT 92961: Cardioversion with Pharmacologic Support

CPT-92970-AORTIC-BALLOON-CATHETER-CIRCULATORY-ASSIST

CPT 92970: Insertion of Intra-Aortic Balloon Pump

CPT-92971-LOWER-EXTREMITY-PNEUMATIC-COMPRESSION

CPT 92971: Pneumatic Intermittent Compression of Lower Extremities

CPT-92973-PERCUTANEOUS-CORONARY-MECHANICAL-THROMBECTOMY-ASPIRATION

CPT 92973: Percutaneous Coronary Thrombectomy, Mechanical Aspiration

CPT-92974-INTRAVASCULAR-BRACHYTHERAPY-FOR-CORONARY-STENOSIS

CPT 92974: Coronary Brachytherapy for Arterial Restenosis

CPT-92978-INTRAVASCULAR-IMAGING-INTERPRETATION-CORONARY-VESSEL

CPT 92978: Intravascular Coronary Imaging and Interpretation

CPT-92986-BALLOON-AORTIC-VALVULOPLASTY

CPT 92986: Percutaneous Balloon Aortic Valvuloplasty

CPT-92987-MITRAL-VALVULOPLASTY-BALLOON-DILATION

CPT 92987: Percutaneous Balloon Mitral Valvuloplasty

Showing 1–10 of 13

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 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
`99291`	Critical care, evaluation and management of the critically ill or critically injured patient; first 30–74 minutes	Often reported in conjunction with `92950` when the clinician provides critical care services during or immediately after resuscitation; documentation must support time and critical care medical decision-making.

Related Modifiers

9 rows

Modifier	Description	When to Use
25	CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…	- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
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…
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…
76	Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…	- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
77	Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…	- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
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…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
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…
207R00000X	Internal Medicine Physician	A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
273R00000X	Psychiatric Hospital Unit	In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for dia…
363LP0808X	Psychiatric/Mental Health Nurse Practitioner	Physician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
341800000X	Military/U.S. Coast Guard Transport	Transportation Services · Military/U.S. Coast Guard Transport
261QU0200X	Urgent Care Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
213EP1101X	Primary Podiatric Medicine Podiatrist	Podiatric Medicine & Surgery Service Providers · Podiatrist

Related ICD-10-CM Codes

24 rows

ICD-10-CM Code	Description
A41.9	Sepsis, unspecified organism
E85.9	Amyloidosis, unspecified
F03.90	Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
G40.909	Epilepsy, unspecified, not intractable, without status epilepticus
G45.9	Transient cerebral ischemic attack, unspecified
G93.1	Anoxic brain damage, not elsewhere classified
I21.3	ST elevation (STEMI) myocardial infarction of unspecified site
I21.9	Acute myocardial infarction, unspecified
I46.2	Cardiac arrest due to underlying cardiac condition
I46.8	Cardiac arrest due to other underlying condition

Showing 1–10 of 24

Related Payer Policy Updates

Specialty: Cardiology1 / 2

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 92953: Cardiac Pacing by Transcardiac Electrical Stimulation

CPT-92960-EXTERNAL-ELECTRICAL-CARDIOVERSION

CPT 92960: External Cardioversion/Defibrillation for Arrhythmia

CPT-92961-ELECTRICAL-CARDIOVERSION-WITH-IV-MEDICATION

CPT 92961: Cardioversion with Pharmacologic Support

CPT-92970-AORTIC-BALLOON-CATHETER-CIRCULATORY-ASSIST

CPT 92970: Insertion of Intra-Aortic Balloon Pump

CPT-92971-LOWER-EXTREMITY-PNEUMATIC-COMPRESSION

CPT 92971: Pneumatic Intermittent Compression of Lower Extremities

CPT-92973-PERCUTANEOUS-CORONARY-MECHANICAL-THROMBECTOMY-ASPIRATION

CPT 92973: Percutaneous Coronary Thrombectomy, Mechanical Aspiration

CPT-92974-INTRAVASCULAR-BRACHYTHERAPY-FOR-CORONARY-STENOSIS

CPT 92974: Coronary Brachytherapy for Arterial Restenosis

CPT-92978-INTRAVASCULAR-IMAGING-INTERPRETATION-CORONARY-VESSEL

CPT 92978: Intravascular Coronary Imaging and Interpretation

CPT-92986-BALLOON-AORTIC-VALVULOPLASTY

CPT 92986: Percutaneous Balloon Aortic Valvuloplasty

CPT-92987-MITRAL-VALVULOPLASTY-BALLOON-DILATION

CPT 92987: Percutaneous Balloon Mitral Valvuloplasty

Showing 1–10 of 13

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.

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CPT 92950: Cardiopulmonary Resuscitation (CPR) Attempt

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National Reimbursement Benchmarks

OpenPayer

CPT 92950: Cardiopulmonary Resuscitation (CPR) Attempt

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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 92950: Cardiopulmonary Resuscitation (CPR) Attempt

Sign up for cpt 92950 policy alerts

National Reimbursement Benchmarks

CPT 92950: Cardiopulmonary Resuscitation (CPR) Attempt

Sign up for cpt 92950 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 situation does CPT 92950 describe?

Which diagnoses are commonly associated with reporting CPT 92950?

Can CPT 99291 (critical care) be reported with CPT 92950?

What clinical actions and workflow are typically documented when 92950 is performed?

Which payers are listed as covering this code on the page?

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 situation does CPT 92950 describe?

Which diagnoses are commonly associated with reporting CPT 92950?

Can CPT 99291 (critical care) be reported with CPT 92950?

What clinical actions and workflow are typically documented when 92950 is performed?

Which payers are listed as covering this code on the page?

References