CPT code 92937: Graft revascularization, single bypass-graft vessel2026 Medicare rate & RVUs in Washington, DC area

Reports catheter-based treatment of one coronary bypass-graft vessel, combining angioplasty, atherectomy, or stenting as needed during the procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality9.8K Medicare services in 2024

In Washington, DC area, Medicare pays $565.68 for 92937 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$565.68Hospital or facility

Check a contract rate as a % of Medicare · 92937 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 92937 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 92937 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 92937 covers

An interventional cardiologist uses catheter-based techniques to restore blood flow in or through one coronary bypass-graft vessel. The treated conduit may be a saphenous vein graft, an internal mammary artery graft, or another free arterial graft; treatment may also reach the native coronary artery through the graft. The service is typically performed in a hospital catheterization laboratory. Angioplasty, atherectomy, stenting, and distal embolic protection when performed are encompassed in this graft revascularization service.

Report one unit for the treated vessel, and use the additional-branch code when another eligible branch is treated. The procedure report should identify the graft, target vessel or branch, treatment performed, and any embolic protection. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures in the same session are subject to the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate; co-surgeons and team surgery are not permitted. Assistant-at-surgery payment requires documentation of medical necessity.

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 Washington, DC area compares for 92937

Across 109 of 109 payment localities, the facility rate for 92937 runs from $460.96 in Wisconsin to $673.42 in Alaska. Washington, DC area pays $565.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

92937 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$565.68
  2. Los Angeles, CA · California$522.40−$43.28
  3. Miami, FL · Florida$658.83+$93.15
  4. Chicago, IL · Illinois$638.68+$73.00
  5. Manhattan, NY · New York$609.18+$43.50
  6. Alaska · Alaska$673.42+$107.74
  7. Alabama · Alabama$477.54−$88.14

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

92937 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$472.02
ArizonaArizona—$509.13
Bakersfield, CACalifornia—$503.53
Chico, CACalifornia—$496.48
El Centro, CACalifornia—$496.91
Fresno, CACalifornia—$496.48
Hanford, CACalifornia—$496.48
Madera, CACalifornia—$496.48

92937 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.

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92937 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 92937 in every payment locality

How the 92937 rate is calculated

Each of 92937’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 · 92937

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.02

11.02 RVUs× 1.000 GPCI

Practice expense2.07

2.07 RVUs× 1.000 GPCI

Malpractice2.59

2.59 RVUs× 1.000 GPCI

Adjusted RVUs

15.6800

Conversion factor

$33.4009

Medicare rate

$523.73

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,909

Code
92937
Physician work
11.02
Practice expense
2.07
Malpractice
2.59

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 92937 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work11.02× 1.05411.6151
Practice expense2.07× 1.1782.4385
Malpractice2.59× 1.1132.8827
Total RVUs16.9362
Conversion factor× 33.4009

Facility rate, Washington, DC area$565.68

Facility: (11.02 × 1.054 + 2.07 × 1.178 + 2.59 × 1.113) × $33.4009 = $565.68

Open 92937 in the RVU calculator

Payment rules and modifiers for 92937

The CMS indicators that decide how 92937 is paid alongside other services.

CMS payment indicators · 92937

Graft revascularization, single bypass-graft vessel

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

92937 without 51 · national facility

$523.73

Graft revascularization, single bypass-graft vessel

92937-51 · Second procedure: 50%

$261.87

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 92937 has changed in Washington, DC area

92937 · 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$565.68RVU26D
2026-07-01Not available in this setting$565.68RVU26C
2026-04-01Not available in this setting$565.68RVU26B
2026-01-01Not available in this setting$565.68RVU26A
2025-10-01Not available in this setting$613.46RVU25D
2025-07-01Not available in this setting$613.46RVU25C
2025-04-01Not available in this setting$613.46RVU25B
2025-01-01Not available in this setting$613.46RVU25A
2024-10-01Not available in this setting$630.88RVU24D
2024-07-01Not available in this setting$630.88RVU24C
2024-04-01Not available in this setting$630.88RVU24B
2024-03-09Not available in this setting$630.88RVU24AR
2024-01-01Not available in this setting$620.58RVU24A
2023-10-01Not available in this setting$647.90RVU23D
2023-07-01Not available in this setting$647.90RVU23C
2023-04-01Not available in this setting$647.90RVU23B
2023-01-01Not available in this setting$647.90RVU23A
2022-10-01Not available in this setting$674.34RVU22D
2022-07-01Not available in this setting$674.34RVU22C
2022-04-01Not available in this setting$674.34RVU22B
2022-01-01Not available in this setting$674.34RVU22A
2021-10-01Not available in this setting$675.86RVU21D
2021-07-01Not available in this setting$675.86RVU21C
2021-04-01Not available in this setting$675.86RVU21B
2021-01-01Not available in this setting$675.86RVU21A
2020-10-01Not available in this setting$691.30RVU20D
2020-07-01Not available in this setting$691.30RVU20C
2020-04-01Not available in this setting$691.30RVU20B
2020-01-01Not available in this setting$691.30RVU20A
2019-10-01Not available in this setting$690.21RVU19D
2019-07-01Not available in this setting$690.21RVU19C
2019-04-01Not available in this setting$690.21RVU19B
2019-01-01Not available in this setting$690.21RVU19A
2018-10-01Not available in this setting$687.64RVU18D
2018-07-01Not available in this setting$687.64RVU18C
2018-04-01Not available in this setting$687.64RVU18B
2018-01-01Not available in this setting$687.64RVU18AR1
2017-10-01Not available in this setting$689.37RVU17D
2017-07-01Not available in this setting$689.37RVU17C
2017-04-01Not available in this setting$689.37RVU17B
2017-01-01Not available in this setting$689.37RVU17A
2016-10-01Not available in this setting$704.97RVU16D
2016-07-01Not available in this setting$704.97RVU16C
2016-04-01Not available in this setting$704.97RVU16B
2016-01-01Not available in this setting$704.97RVU16A
2015-10-01Not available in this setting$705.24RVU15D
2015-07-01Not available in this setting$705.24RVU15C
2015-04-01Not available in this setting$701.73RVU15B
2015-01-01Not available in this setting$701.73RVU15A
2014-10-01Not available in this setting$688.06RVU14D
2014-07-01Not available in this setting$688.06RVU14C
2014-04-01Not available in this setting$688.06RVU14B
2014-01-01Not available in this setting$688.06RVU14A
2013-10-01Not available in this setting$660.63RVU13D
2013-07-01Not available in this setting$660.63RVU13C
2013-04-01Not available in this setting$660.63RVU13B
2013-01-01Not available in this setting$660.63RVU13AR

Price 92937 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

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Browse all communities in District of Columbia

92937 billing questions

When is this code chosen instead of a native-coronary intervention code?

Use it when the treated vessel is a coronary bypass graft or the intervention reaches the target through that graft. Native-coronary intervention codes describe treatment of a native vessel rather than graft revascularization.

Are angioplasty, atherectomy, and stenting reported separately for the same graft vessel?

They are encompassed in this service when performed on the treated graft vessel. Distal embolic protection is also included when performed.

How should an additional treated branch be reported?

Report the primary graft revascularization code for the first vessel and the applicable add-on code for each eligible additional branch. The operative report should distinguish the treated branches.

Can modifier 50 be used for treatment of grafts on both sides?

No. Modifier 50 is inappropriate for this code.

What documentation supports assistant-at-surgery payment?

The record must document the medical necessity of the assistant's participation. Assistant-at-surgery payment is limited to cases supported by that documentation.

What same-session payment reduction may affect this service?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other eligible procedures in the same session are paid at 50%.

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 92937PPRRVU2026_Oct_nonQPP.csv, line 11,909 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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