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

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, 2026One payment locality18.6K Medicare services in 2024

In New Mexico, Medicare pays $395.67 for 92920 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$395.67Hospital or facility

Check a contract rate as a % of Medicare · 92920 nationwide

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

We’ll open 92920 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 92920 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How New Mexico compares for 92920

Across 109 of 109 payment localities, the facility rate for 92920 runs from $340.81 in Wisconsin to $497.76 in Alaska. New Mexico pays $395.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

92920 in New Mexico vs other payment areas
  1. New Mexico · this page$395.67
  2. Los Angeles, CA · California$386.24−$9.43
  3. Washington, DC area · District of Columbia$418.16+$22.49
  4. Miami, FL · Florida$486.77+$91.10
  5. Chicago, IL · Illinois$471.89+$76.22
  6. Manhattan, NY · New York$450.23+$54.56
  7. Alaska · Alaska$497.76+$102.09

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

92920 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$353.00
ArkansasArkansas—$348.92
ArizonaArizona—$376.34
Bakersfield, CACalifornia—$372.28
Chico, CACalifornia—$367.08
El Centro, CACalifornia—$367.39
Fresno, CACalifornia—$367.08
Hanford, CACalifornia—$367.08

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

See 92920 in every payment locality

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,904

Code
92920
Physician work
8.14
Practice expense
1.54
Malpractice
1.91

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 92920 in New Mexico
ComponentRVULocality factorAdjusted
Physician work8.14× 1.0008.1400
Practice expense1.54× 0.9171.4122
Malpractice1.91× 1.2012.2939
Total RVUs11.8461
Conversion factor× 33.4009

Facility rate, New Mexico$395.67

Facility: (8.14 × 1 + 1.54 × 0.917 + 1.91 × 1.201) × $33.4009 = $395.67

Open 92920 in the RVU calculator

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

How 92920 has changed in New Mexico

92920 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$395.67RVU26D
2026-07-01Not available in this setting$395.67RVU26C
2026-04-01Not available in this setting$395.67RVU26B
2026-01-01Not available in this setting$395.67RVU26A
2025-10-01Not available in this setting$503.22RVU25D
2025-07-01Not available in this setting$503.22RVU25C
2025-04-01Not available in this setting$503.22RVU25B
2025-01-01Not available in this setting$503.22RVU25A
2024-10-01Not available in this setting$516.74RVU24D
2024-07-01Not available in this setting$516.74RVU24C
2024-04-01Not available in this setting$516.74RVU24B
2024-03-09Not available in this setting$516.74RVU24AR
2024-01-01Not available in this setting$508.31RVU24A
2023-10-01Not available in this setting$522.67RVU23D
2023-07-01Not available in this setting$522.67RVU23C
2023-04-01Not available in this setting$522.67RVU23B
2023-01-01Not available in this setting$522.67RVU23A
2022-10-01Not available in this setting$538.01RVU22D
2022-07-01Not available in this setting$538.01RVU22C
2022-04-01Not available in this setting$538.01RVU22B
2022-01-01Not available in this setting$538.01RVU22A
2021-10-01Not available in this setting$539.22RVU21D
2021-07-01Not available in this setting$539.22RVU21C
2021-04-01Not available in this setting$539.22RVU21B
2021-01-01Not available in this setting$539.22RVU21A
2020-10-01Not available in this setting$560.99RVU20D
2020-07-01Not available in this setting$560.99RVU20C
2020-04-01Not available in this setting$560.99RVU20B
2020-01-01Not available in this setting$560.99RVU20A
2019-10-01Not available in this setting$568.62RVU19D
2019-07-01Not available in this setting$568.62RVU19C
2019-04-01Not available in this setting$568.62RVU19B
2019-01-01Not available in this setting$568.62RVU19A
2018-10-01Not available in this setting$567.10RVU18D
2018-07-01Not available in this setting$567.10RVU18C
2018-04-01Not available in this setting$567.10RVU18B
2018-01-01Not available in this setting$567.10RVU18AR1
2017-10-01Not available in this setting$562.55RVU17D
2017-07-01Not available in this setting$562.55RVU17C
2017-04-01Not available in this setting$562.55RVU17B
2017-01-01Not available in this setting$562.55RVU17A
2016-10-01Not available in this setting$571.58RVU16D
2016-07-01Not available in this setting$571.58RVU16C
2016-04-01Not available in this setting$571.58RVU16B
2016-01-01Not available in this setting$571.58RVU16A
2015-10-01Not available in this setting$572.39RVU15D
2015-07-01Not available in this setting$572.39RVU15C
2015-04-01Not available in this setting$569.55RVU15B
2015-01-01Not available in this setting$569.55RVU15A
2014-10-01Not available in this setting$557.04RVU14D
2014-07-01Not available in this setting$557.04RVU14C
2014-04-01Not available in this setting$557.04RVU14B
2014-01-01Not available in this setting$557.04RVU14A
2013-10-01Not available in this setting$533.23RVU13D
2013-07-01Not available in this setting$533.23RVU13C
2013-04-01Not available in this setting$533.23RVU13B
2013-01-01Not available in this setting$533.23RVU13AR

Price 92920 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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