Medicare AdvantageBilling CodesHigh impact
Percutaneous Coronary Interventions
UnitedHealthcare·Cardiology, Cardiothoracic Surgery, Radiology·Medical Policy
Effective date
Oct 1, 2026
We identified it
Oct 3, 2026
Summary
UnitedHealthcare Medicare Advantage has updated its Percutaneous Coronary Interventions policy effective October 1, 2026, adding CPT codes 92930 and 92945 to covered procedures and revising descriptions for seven existing PCI-related CPT codes (92920, 92924, 92928, 92933, 92937, 92941, 92943). Billing teams must update their systems to recognize these code changes and ensure accurate claim submission for Medicare Advantage beneficiaries.
Action Required
By October 1, 2026: Billing team must update billing software and claim submission systems to recognize CPT codes 92930 and 92945 as covered procedures under UnitedHealthcare Medicare Advantage. Review and verify revised descriptions for CPT codes 92920, 92924, 92928, 92933, 92937, 92941, and 92943 in the full policy document. Update encounter forms and clinical documentation templates used by cardiology providers to reflect code changes. Audit claim history for any retroactive billing adjustments if claims were submitted with 92930 or 92945 prior to this effective date. Communicate changes to interventional cardiologists and cath lab staff. Failure to implement these changes may result in claim denials or rejections for these procedures.