Therapeutic / Interventional Procedures

CPT® Code	Description	2017 Work RVUs	2017 Medicare Base Payment Rate2
			Non-Facility	Facility
92920	Angioplasty, single vessel	9.85	$0	$556
+92921	Angioplasty, additional branch	0.00	$0	$0
92924	Atherectomy, single vessel	11.74	$0	$664
+92925	Atherectomy, additional branch	0.00	$0	$0
92928	Stent, single vessel	10.96	$0	$619
+92929	Stent, additional branch	0.00	$0	$0
92933	Atherectomy + stent, single vessel	12.29	$0	$694
+92934	Atherectomy + stent, additional branch	0.00	$0	$0
92937	PCI of or through bypass, any method(s)	10.95	$0	$618
+92938	PCI of or through bypass, additional branch	0.00	$0	$0
92941	PCI of acute MI, all interventions, single vessel	12.31	$0	$696
92943	PCI of chronic total occlusion, any method(s)	12.31	$0	$695
+92944	PCI of chronic total occlusion, additional branch	0.00	$0	$0
+92973	Percutaneous coronary thrombectomy, mechanical	3.28	$0	$185
Other Supportive Therapies
92975	Thrombolysis, coronary, by intracoronary infusion	6.99	$0	$394
92977	Thrombolysis, coronary, by intravenous infusion	0.00	$70	$0
33967	Insertion of intra-aortic balloon assist device, percutaneous	4.84	$0	$271
33968	Removal of intra-aortic balloon assist device, percutaneous	0.64	$0	$35
33990	Insert ventricular assist device (VAD), percutaneous, arterial access only	7.90	$0	$445
33991	Insert VAD, percutaneous, arterial & venous access, transseptal	11.63	$0	$652
33992	Remove ventricular assist device, at separate session from insertion	3.75	$0	$210
33993	Reposition ventricular assist device, with imaging, at separate session	3.26	$0	$183
G0269	Placement of occlusive device into vascular access site	0.00	$0	$0

Ambulatory Surgery Center (ASC) Reimbursement

In general, the ASC payment rate for services is set at approximately 65% of the payment rate for the same service under the HOPPS, with some exceptions.3 For example, for device-intensive services (where device costs account for more than 50 percent of the total cost of the service), ASCs receive the same payment rate for the device cost as under the HOPPS, with payment for the service portion of the ASC rate calculated at the usual percentage rate of the corresponding OPPS service payment. ASCs will not typically bill separately for these devices.

CMS has assigned APC-based payment rates in an Ambulatory Surgery Center only to surgical procedure codes – CPT® codes in the range 10000 – 69999, plus a few Category III codes, C-codes, and G-codes – and does not include cardiac catheterization codes. Intra-aortic balloon and ventricular assist devices are designated inpatient-only.