CPT code 92933: Coronary intervention, atherectomy with stent2026 Medicare rate & RVUs in Montana
Reports coronary atherectomy with stent placement in one major coronary artery or branch, including balloon angioplasty when performed during the intervention.
In Montana, Medicare pays $553.27 for 92933 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 92933 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 92933 covers
An interventional cardiologist uses a catheter-based technique to remove or modify obstructive coronary plaque and place an intracoronary stent in one major coronary artery or branch. A typical setting is a cardiac catheterization laboratory, where a calcified coronary lesion may be treated with atherectomy before stenting. Balloon angioplasty performed as part of that intervention is included in this service.
Report 92933 for the atherectomy-and-stent intervention in one major artery or branch; report 92934 for a qualifying additional branch. The procedure report should identify the treated artery or branch and document both atherectomy and stent placement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented 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 Montana compares for 92933
Across 109 of 109 payment localities, the facility rate for 92933 runs from $487.27 in Wisconsin to $711.68 in Alaska. Montana pays $553.27. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$553.27
- Los Angeles, CA · California$552.20−$1.07
- Washington, DC area · District of Columbia$597.83+$44.56
- Miami, FL · Florida$695.89+$142.62
- Chicago, IL · Illinois$674.63+$121.36
- Manhattan, NY · New York$643.67+$90.40
- Alaska · Alaska$711.68+$158.41
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $504.69 |
| ArkansasArkansas | — | $498.87 |
| ArizonaArizona | — | $538.04 |
| Bakersfield, CACalifornia | — | $532.24 |
| Chico, CACalifornia | — | $524.81 |
| El Centro, CACalifornia | — | $525.26 |
| Fresno, CACalifornia | — | $524.81 |
| Hanford, CACalifornia | — | $524.81 |
| Madera, CACalifornia | — | $524.81 |
| Merced, CACalifornia | — | $524.81 |
| Modesto, CACalifornia | — | $524.81 |
| Napa, CACalifornia | — | $556.45 |
| Oxnard, CACalifornia | — | $543.34 |
| Redding, CACalifornia | — | $524.81 |
| Rest of CaliforniaCalifornia | — | $524.81 |
| Riverside, CACalifornia | — | $554.10 |
| Sacramento, CACalifornia | — | $537.12 |
| Salinas, CACalifornia | — | $534.88 |
| San Diego, CACalifornia | — | $537.76 |
| Marin County, CACalifornia | — | $571.18 |
| San Francisco, CACalifornia | — | $568.08 |
| San Benito County, CACalifornia | — | $586.39 |
| Santa Clara County, CACalifornia | — | $573.71 |
| San Luis Obispo, CACalifornia | — | $527.97 |
| Santa Cruz, CACalifornia | — | $535.11 |
| Santa Maria, CACalifornia | — | $534.23 |
| Santa Rosa, CACalifornia | — | $539.56 |
| Stockton, CACalifornia | — | $524.81 |
| Vallejo, CACalifornia | — | $551.98 |
| Visalia, CACalifornia | — | $524.81 |
| Yuba City, CACalifornia | — | $524.81 |
| ColoradoColorado | — | $542.85 |
| ConnecticutConnecticut | — | $586.04 |
| DelawareDelaware | — | $545.31 |
| Fort Lauderdale, FLFlorida | — | $628.09 |
| Rest of FloridaFlorida | — | $596.09 |
| Atlanta, GAGeorgia | — | $574.12 |
| Rest of GeorgiaGeorgia | — | $563.02 |
| Hawaii, Guam, HIHawaii | — | $525.13 |
| IowaIowa | — | $492.22 |
| IdahoIdaho | — | $499.52 |
| East St. Louis, ILIllinois | — | $640.04 |
| Rest of IllinoisIllinois | — | $598.40 |
| Suburban Chicago, ILIllinois | — | $628.55 |
| IndianaIndiana | — | $501.22 |
| KansasKansas | — | $501.17 |
| KentuckyKentucky | — | $537.55 |
| New Orleans, LALouisiana | — | $561.52 |
| Rest of LouisianaLouisiana | — | $541.17 |
| Metropolitan Boston, MAMassachusetts | — | $573.62 |
| Rest of MassachusettsMassachusetts | — | $545.06 |
| Baltimore area, MDMaryland | — | $586.65 |
| Rest of MarylandMaryland | — | $550.75 |
| Rest of MaineMaine | — | $513.11 |
| Southern Maine, MEMaine | — | $519.14 |
| Detroit, MIMichigan | — | $613.43 |
| Rest of MichiganMichigan | — | $558.82 |
| MinnesotaMinnesota | — | $491.39 |
| Metropolitan Kansas City, MOMissouri | — | $546.87 |
| Metropolitan St. Louis, MOMissouri | — | $550.11 |
| Rest of MissouriMissouri | — | $540.94 |
| MississippiMississippi | — | $519.44 |
| North CarolinaNorth Carolina | — | $515.61 |
| North DakotaNorth Dakota | — | $499.29 |
| NebraskaNebraska | — | $491.08 |
| New HampshireNew Hampshire | — | $545.07 |
| Northern New JerseyNew Jersey | — | $595.90 |
| Rest of New JerseyNew Jersey | — | $584.61 |
| New MexicoNew Mexico | — | $565.68 |
| NevadaNevada | — | $538.30 |
| NYC suburbs and Long Island, NYNew York | — | $670.37 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $597.08 |
| Queens, NYNew York | — | $632.01 |
| Rest of New YorkNew York | — | $522.70 |
| OhioOhio | — | $547.79 |
| OklahomaOklahoma | — | $525.26 |
| Portland, OROregon | — | $544.49 |
| Rest of OregonOregon | — | $526.08 |
| Metropolitan Philadelphia, PAPennsylvania | — | $581.06 |
| Rest of PennsylvaniaPennsylvania | — | $542.41 |
| Puerto RicoPuerto Rico | — | $552.89 |
| Rhode IslandRhode Island | — | $553.42 |
| South CarolinaSouth Carolina | — | $534.19 |
| South DakotaSouth Dakota | — | $492.91 |
| TennesseeTennessee | — | $504.55 |
| Austin, TXTexas | — | $548.10 |
| Beaumont, TXTexas | — | $540.37 |
| Brazoria, TXTexas | — | $535.84 |
| Dallas, TXTexas | — | $543.71 |
| Fort Worth, TXTexas | — | $544.16 |
| Galveston, TXTexas | — | $540.37 |
| Houston, TXTexas | — | $590.33 |
| Rest of TexasTexas | — | $540.86 |
| UtahUtah | — | $539.74 |
| VirginiaVirginia | — | $525.40 |
| Virgin Islands, VIUnited States Virgin Islands | — | $552.89 |
| VermontVermont | — | $507.67 |
| Rest of WashingtonWashington | — | $540.61 |
| King County, WAWashington | — | $572.89 |
| WisconsinWisconsin | — | $487.27 |
| West VirginiaWest Virginia | — | $583.13 |
| WyomingWyoming | — | $529.74 |
92933 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
| 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 92933 rate is calculated
Each of 92933’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 · 92933
RVUs × geographic indexes × conversion factor
Work11.64
11.64 RVUs× 1.000 GPCI
Practice expense2.20
2.20 RVUs× 1.000 GPCI
Malpractice2.73
2.73 RVUs× 1.000 GPCI
Adjusted RVUs
16.5700
Conversion factor
$33.4009
Medicare rate
$553.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,908
- Code
- 92933
- Physician work
- 11.64
- Practice expense
- 2.20
- Malpractice
- 2.73
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.64 | × 1.000 | 11.6400 |
| Practice expense | 2.20 | × 1.000 | 2.2000 |
| Malpractice | 2.73 | × 0.998 | 2.7245 |
| Total RVUs | 16.5645 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$553.27
Facility: (11.64 × 1 + 2.2 × 1 + 2.73 × 0.998) × $33.4009 = $553.27
Payment rules and modifiers for 92933
The CMS indicators that decide how 92933 is paid alongside other services.
CMS payment indicators · 92933
Coronary intervention, atherectomy with 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
92933 without 51 · national facility
$553.45
Coronary intervention, atherectomy with stent
92933-51 · Second procedure: 50%
$276.73
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 92933 has changed in Montana
92933 · 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 | $553.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $553.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $553.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $553.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $622.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $622.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $622.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $622.96 | RVU25A |
| 2024-10-01 | Not available in this setting | $639.74 | RVU24D |
| 2024-07-01 | Not available in this setting | $639.74 | RVU24C |
| 2024-04-01 | Not available in this setting | $639.74 | RVU24B |
| 2024-03-09 | Not available in this setting | $639.74 | RVU24AR |
| 2024-01-01 | Not available in this setting | $629.30 | RVU24A |
| 2023-10-01 | Not available in this setting | $649.62 | RVU23D |
| 2023-07-01 | Not available in this setting | $649.62 | RVU23C |
| 2023-04-01 | Not available in this setting | $649.62 | RVU23B |
| 2023-01-01 | Not available in this setting | $649.62 | RVU23A |
| 2022-10-01 | Not available in this setting | $668.42 | RVU22D |
| 2022-07-01 | Not available in this setting | $668.42 | RVU22C |
| 2022-04-01 | Not available in this setting | $668.42 | RVU22B |
| 2022-01-01 | Not available in this setting | $668.42 | RVU22A |
| 2021-10-01 | Not available in this setting | $671.24 | RVU21D |
| 2021-07-01 | Not available in this setting | $671.24 | RVU21C |
| 2021-04-01 | Not available in this setting | $671.24 | RVU21B |
| 2021-01-01 | Not available in this setting | $671.24 | RVU21A |
| 2020-10-01 | Not available in this setting | $724.32 | RVU20D |
| 2020-07-01 | Not available in this setting | $724.32 | RVU20C |
| 2020-04-01 | Not available in this setting | $724.32 | RVU20B |
| 2020-01-01 | Not available in this setting | $724.32 | RVU20A |
| 2019-10-01 | Not available in this setting | $761.58 | RVU19D |
| 2019-07-01 | Not available in this setting | $761.58 | RVU19C |
| 2019-04-01 | Not available in this setting | $761.58 | RVU19B |
| 2019-01-01 | Not available in this setting | $761.58 | RVU19A |
| 2018-10-01 | Not available in this setting | $757.81 | RVU18D |
| 2018-07-01 | Not available in this setting | $757.81 | RVU18C |
| 2018-04-01 | Not available in this setting | $757.81 | RVU18B |
| 2018-01-01 | Not available in this setting | $757.81 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $737.50 | RVU17D |
| 2017-07-01 | Not available in this setting | $737.50 | RVU17C |
| 2017-04-01 | Not available in this setting | $737.50 | RVU17B |
| 2017-01-01 | Not available in this setting | $737.50 | RVU17A |
| 2016-10-01 | Not available in this setting | $729.17 | RVU16D |
| 2016-07-01 | Not available in this setting | $729.17 | RVU16C |
| 2016-04-01 | Not available in this setting | $729.17 | RVU16B |
| 2016-01-01 | Not available in this setting | $729.17 | RVU16A |
| 2015-10-01 | Not available in this setting | $729.68 | RVU15D |
| 2015-07-01 | Not available in this setting | $729.68 | RVU15C |
| 2015-04-01 | Not available in this setting | $726.05 | RVU15B |
| 2015-01-01 | Not available in this setting | $726.05 | RVU15A |
| 2014-10-01 | Not available in this setting | $712.96 | RVU14D |
| 2014-07-01 | Not available in this setting | $712.96 | RVU14C |
| 2014-04-01 | Not available in this setting | $712.96 | RVU14B |
| 2014-01-01 | Not available in this setting | $712.96 | RVU14A |
| 2013-10-01 | Not available in this setting | $685.30 | RVU13D |
| 2013-07-01 | Not available in this setting | $685.30 | RVU13C |
| 2013-04-01 | Not available in this setting | $685.30 | RVU13B |
| 2013-01-01 | Not available in this setting | $685.30 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
92933 billing questions
Can balloon angioplasty be reported separately with 92933?
No. Balloon angioplasty performed as part of the atherectomy-and-stent intervention is included in 92933.
What code applies when another major coronary branch is treated?
Use 92934 for a qualifying additional branch treated with atherectomy and stenting. The procedure report should support the additional branch intervention.
What documentation supports 92933?
Document the treated major coronary artery or branch and the performance of both atherectomy and intracoronary stent placement. Include angioplasty in the procedural documentation when performed.
Can modifier 50 be used for 92933?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does Medicare apply multiple-procedure reduction?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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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