Catheter insertion of stents in major coronary artery or branch, accessed through the skin

CPT Code: 92928

This payment estimate is for a typical 60-day episode of care and includes related medical services 30 days before and 30 days after the surgery. All services related to the surgery are included, such as sedation, EKG, laboratory services, and medical and surgical supplies. The services are provided by a variety of healthcare settings and providers. The average total payment is attributed to the healthcare setting that has the highest payment (usually the setting where the surgery took place).

This procedure is often measured in units, or the number of coronary arteries treated, and we calculate the payment per unit on CompareMaine. Therefore, if you have more than 1 unit of service, you need to multiply the payment by the number of units you will receive to get the total estimate for the visit. Your healthcare provider can give you more information about the procedure and the estimated number of units of each service that will be billed during the course of treatment.

For this procedure, episodes are identified by one of the following CPT Codes: 92928 or 92933. The Methodology for Reporting Bundled Episodes of Care details the complete list of codes included in this bundled episode.

Average Number of Units: 1

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