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.
In New Mexico, Medicare pays $395.67 for 92920 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- New Mexico · this page$395.67
- Los Angeles, CA · California$386.24−$9.43
- Washington, DC area · District of Columbia$418.16+$22.49
- Miami, FL · Florida$486.77+$91.10
- Chicago, IL · Illinois$471.89+$76.22
- Manhattan, NY · New York$450.23+$54.56
- Alaska · Alaska$497.76+$102.09
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $367.08 |
| Merced, CACalifornia | — | $367.08 |
| Modesto, CACalifornia | — | $367.08 |
| Napa, CACalifornia | — | $389.21 |
| Oxnard, CACalifornia | — | $380.04 |
| Redding, CACalifornia | — | $367.08 |
| Rest of CaliforniaCalifornia | — | $367.08 |
| Riverside, CACalifornia | — | $387.57 |
| Sacramento, CACalifornia | — | $375.69 |
| Salinas, CACalifornia | — | $374.12 |
| San Diego, CACalifornia | — | $376.14 |
| Marin County, CACalifornia | — | $399.52 |
| San Francisco, CACalifornia | — | $397.35 |
| San Benito County, CACalifornia | — | $410.16 |
| Santa Clara County, CACalifornia | — | $401.29 |
| San Luis Obispo, CACalifornia | — | $369.29 |
| Santa Cruz, CACalifornia | — | $374.28 |
| Santa Maria, CACalifornia | — | $373.67 |
| Santa Rosa, CACalifornia | — | $377.40 |
| Stockton, CACalifornia | — | $367.08 |
| Vallejo, CACalifornia | — | $386.09 |
| Visalia, CACalifornia | — | $367.08 |
| Yuba City, CACalifornia | — | $367.08 |
| ColoradoColorado | — | $379.70 |
| ConnecticutConnecticut | — | $409.91 |
| DelawareDelaware | — | $381.42 |
| Fort Lauderdale, FLFlorida | — | $439.33 |
| Rest of FloridaFlorida | — | $416.94 |
| Atlanta, GAGeorgia | — | $401.58 |
| Rest of GeorgiaGeorgia | — | $393.81 |
| Hawaii, Guam, HIHawaii | — | $367.31 |
| IowaIowa | — | $344.28 |
| IdahoIdaho | — | $349.38 |
| East St. Louis, ILIllinois | — | $447.69 |
| Rest of IllinoisIllinois | — | $418.56 |
| Suburban Chicago, ILIllinois | — | $439.66 |
| IndianaIndiana | — | $350.57 |
| KansasKansas | — | $350.54 |
| KentuckyKentucky | — | $375.98 |
| New Orleans, LALouisiana | — | $392.76 |
| Rest of LouisianaLouisiana | — | $378.52 |
| Metropolitan Boston, MAMassachusetts | — | $401.22 |
| Rest of MassachusettsMassachusetts | — | $381.24 |
| Baltimore area, MDMaryland | — | $410.34 |
| Rest of MarylandMaryland | — | $385.22 |
| Rest of MaineMaine | — | $358.89 |
| Southern Maine, MEMaine | — | $363.11 |
| Detroit, MIMichigan | — | $429.08 |
| Rest of MichiganMichigan | — | $390.87 |
| MinnesotaMinnesota | — | $343.70 |
| Metropolitan Kansas City, MOMissouri | — | $382.51 |
| Metropolitan St. Louis, MOMissouri | — | $384.78 |
| Rest of MissouriMissouri | — | $378.36 |
| MississippiMississippi | — | $363.32 |
| MontanaMontana | — | $386.99 |
| North CarolinaNorth Carolina | — | $360.64 |
| North DakotaNorth Dakota | — | $349.22 |
| NebraskaNebraska | — | $343.47 |
| New HampshireNew Hampshire | — | $381.25 |
| Northern New JerseyNew Jersey | — | $416.81 |
| Rest of New JerseyNew Jersey | — | $408.91 |
| NevadaNevada | — | $376.51 |
| NYC suburbs and Long Island, NYNew York | — | $468.91 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $417.63 |
| Queens, NYNew York | — | $442.08 |
| Rest of New YorkNew York | — | $365.60 |
| OhioOhio | — | $383.15 |
| OklahomaOklahoma | — | $367.39 |
| Portland, OROregon | — | $380.84 |
| Rest of OregonOregon | — | $367.96 |
| Metropolitan Philadelphia, PAPennsylvania | — | $406.43 |
| Rest of PennsylvaniaPennsylvania | — | $379.39 |
| Puerto RicoPuerto Rico | — | $386.73 |
| Rhode IslandRhode Island | — | $387.09 |
| South CarolinaSouth Carolina | — | $373.64 |
| South DakotaSouth Dakota | — | $344.76 |
| TennesseeTennessee | — | $352.90 |
| Austin, TXTexas | — | $383.37 |
| Beaumont, TXTexas | — | $377.96 |
| Brazoria, TXTexas | — | $374.79 |
| Dallas, TXTexas | — | $380.30 |
| Fort Worth, TXTexas | — | $380.61 |
| Galveston, TXTexas | — | $377.96 |
| Houston, TXTexas | — | $412.92 |
| Rest of TexasTexas | — | $378.30 |
| UtahUtah | — | $377.52 |
| VirginiaVirginia | — | $367.49 |
| Virgin Islands, VIUnited States Virgin Islands | — | $386.73 |
| VermontVermont | — | $355.09 |
| Rest of WashingtonWashington | — | $378.13 |
| King County, WAWashington | — | $400.71 |
| WisconsinWisconsin | — | $340.81 |
| West VirginiaWest Virginia | — | $407.87 |
| WyomingWyoming | — | $370.53 |
92920 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.14 | × 1.000 | 8.1400 |
| Practice expense | 1.54 | × 0.917 | 1.4122 |
| Malpractice | 1.91 | × 1.201 | 2.2939 |
| Total RVUs | 11.8461 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $395.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $395.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $395.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $395.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $503.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $503.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $503.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $503.22 | RVU25A |
| 2024-10-01 | Not available in this setting | $516.74 | RVU24D |
| 2024-07-01 | Not available in this setting | $516.74 | RVU24C |
| 2024-04-01 | Not available in this setting | $516.74 | RVU24B |
| 2024-03-09 | Not available in this setting | $516.74 | RVU24AR |
| 2024-01-01 | Not available in this setting | $508.31 | RVU24A |
| 2023-10-01 | Not available in this setting | $522.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $522.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $522.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $522.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $538.01 | RVU22D |
| 2022-07-01 | Not available in this setting | $538.01 | RVU22C |
| 2022-04-01 | Not available in this setting | $538.01 | RVU22B |
| 2022-01-01 | Not available in this setting | $538.01 | RVU22A |
| 2021-10-01 | Not available in this setting | $539.22 | RVU21D |
| 2021-07-01 | Not available in this setting | $539.22 | RVU21C |
| 2021-04-01 | Not available in this setting | $539.22 | RVU21B |
| 2021-01-01 | Not available in this setting | $539.22 | RVU21A |
| 2020-10-01 | Not available in this setting | $560.99 | RVU20D |
| 2020-07-01 | Not available in this setting | $560.99 | RVU20C |
| 2020-04-01 | Not available in this setting | $560.99 | RVU20B |
| 2020-01-01 | Not available in this setting | $560.99 | RVU20A |
| 2019-10-01 | Not available in this setting | $568.62 | RVU19D |
| 2019-07-01 | Not available in this setting | $568.62 | RVU19C |
| 2019-04-01 | Not available in this setting | $568.62 | RVU19B |
| 2019-01-01 | Not available in this setting | $568.62 | RVU19A |
| 2018-10-01 | Not available in this setting | $567.10 | RVU18D |
| 2018-07-01 | Not available in this setting | $567.10 | RVU18C |
| 2018-04-01 | Not available in this setting | $567.10 | RVU18B |
| 2018-01-01 | Not available in this setting | $567.10 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $562.55 | RVU17D |
| 2017-07-01 | Not available in this setting | $562.55 | RVU17C |
| 2017-04-01 | Not available in this setting | $562.55 | RVU17B |
| 2017-01-01 | Not available in this setting | $562.55 | RVU17A |
| 2016-10-01 | Not available in this setting | $571.58 | RVU16D |
| 2016-07-01 | Not available in this setting | $571.58 | RVU16C |
| 2016-04-01 | Not available in this setting | $571.58 | RVU16B |
| 2016-01-01 | Not available in this setting | $571.58 | RVU16A |
| 2015-10-01 | Not available in this setting | $572.39 | RVU15D |
| 2015-07-01 | Not available in this setting | $572.39 | RVU15C |
| 2015-04-01 | Not available in this setting | $569.55 | RVU15B |
| 2015-01-01 | Not available in this setting | $569.55 | RVU15A |
| 2014-10-01 | Not available in this setting | $557.04 | RVU14D |
| 2014-07-01 | Not available in this setting | $557.04 | RVU14C |
| 2014-04-01 | Not available in this setting | $557.04 | RVU14B |
| 2014-01-01 | Not available in this setting | $557.04 | RVU14A |
| 2013-10-01 | Not available in this setting | $533.23 | RVU13D |
| 2013-07-01 | Not available in this setting | $533.23 | RVU13C |
| 2013-04-01 | Not available in this setting | $533.23 | RVU13B |
| 2013-01-01 | Not available in this setting | $533.23 | RVU13AR |
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
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
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