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CPT code 92920: Coronary angioplasty, single vessel, no stent2026 Medicare rate & RVUs

Reports catheter-based balloon treatment of a narrowing in one major coronary artery or branch when the treated vessel is not stented or atherectomized.

CMS RVU26DEffective Oct 1, 2026109 payment localities18.6K Medicare services in 2024

Medicare pays $387.12 for 92920 nationally in a facility.

Medicare rate · 92920

Coronary angioplasty, single vessel, no stent

Office or facility?

Work RVUs
8.14
Total RVUs
11.59
Global days
000

National rate · 2026

$387.12

Facility setting, before claim adjustments.

See every locality for 92920 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 92920 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92920 covers

An interventional cardiologist advances a catheter-mounted balloon through the vascular system to widen a narrowed coronary artery or branch. The service is typically performed in a hospital cardiac catheterization laboratory for coronary artery disease. This code describes balloon angioplasty without stent placement or atherectomy in the treated vessel; balloon dilation used as part of a stent or atherectomy service is included in that service when performed.

Report one unit for treatment of one major artery or branch, supported by the procedure report identifying the treated vessel and intervention. For each additional qualifying branch, 92921 is the add-on code. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 92920 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92920 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$353.00
AlaskaUnavailable$497.76
ArizonaUnavailable$376.34
ArkansasUnavailable$348.92
Atlanta, GAUnavailable$401.58
Austin, TXUnavailable$383.37
Bakersfield, CAUnavailable$372.28
Baltimore area, MDUnavailable$410.34
Beaumont, TXUnavailable$377.96
Brazoria, TXUnavailable$374.79

92920 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
92920 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 92920 rate is calculated

Each of 92920’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 92920

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.14

8.14 RVUs× 1.000 GPCI

Practice expense1.54

1.54 RVUs× 1.000 GPCI

Malpractice1.91

1.91 RVUs× 1.000 GPCI

Adjusted RVUs

11.5900

Conversion factor

$33.4009

Medicare rate

$387.12

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 92920

The CMS indicators that decide how 92920 is paid alongside other services.

CMS payment indicators · 92920

Coronary angioplasty, single vessel, no stent

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

92920 without 51 · national facility

$387.12

Coronary angioplasty, single vessel, no stent

92920-51 · Second procedure: 50%

$193.56

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

92920 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92920

    Coronary angioplasty, single vessel, no stent8.14 wRVU

    Not priced

  • 92928

    Coronary stenting, one artery or branch9.75 wRVU

    Not priced

  • 92924

    Coronary atherectomy, single artery or branch9.88 wRVU

    Not priced

  • 92930

    Coronary stenting, two or more lesions, one artery12 wRVU

    Not priced

How to choose

92928Coronary stentingOne artery or branch
Choose 92928 when a coronary stent is placed; angioplasty performed with that stent service is included. Use 92920 for balloon treatment without stent placement in the vessel.
92924Coronary atherectomySingle artery or branch
92924 describes atherectomy, with angioplasty when performed. Use 92920 when the coronary narrowing is treated by balloon angioplasty without atherectomy.
92930Coronary stentingTwo or more lesions, one artery
92930 describes stent placement for two or more lesions in one artery or branch. Code 92920 is for balloon angioplasty without stent placement.

Codes related to 92920

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92920
CodeHow it relatesNational office range
Used instead
92928Coronary stenting, one artery or branchUsed when a coronary stent is placed in the treated artery or branch.No office rate
92924Coronary atherectomy, single artery or branchDescribes coronary atherectomy, with angioplasty when performed.No office rate
92933Coronary intervention, atherectomy with stentDescribes coronary atherectomy with stent placement in one artery or branch.No office rate
92930Coronary stenting, two or more lesions, one arteryDescribes stent placement for two or more lesions in one artery or branch.No office rate

92920 billing questions

When should 92920 be reported instead of 92928?

Use 92920 for balloon angioplasty without stent placement in the treated vessel. Code 92928 describes stent placement, including angioplasty performed as part of that service.

Can 92920 be reported for balloon dilation before or after a stent in the same vessel?

No. Balloon angioplasty performed as part of stent placement in that vessel is included in the stent service.

How is angioplasty in an additional coronary branch reported?

Report 92920 for the first treated artery or branch and 92921 for each qualifying additional branch. The documentation should identify the vessels treated.

Should modifier 50 be appended for angioplasty on both sides of the heart?

No. The descriptor and coronary anatomy make bilateral adjustment inappropriate for 92920.

What documentation supports an assistant-at-surgery claim?

The record must document the medical necessity of the assistant's participation. CMS payment for an assistant is limited to cases with that documentation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 92920PPRRVU2026_Oct_nonQPP.csv, line 11,904 (RVU26D)

Open CMS sourceHow we calculate rates

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