CPT code 93592: Valve leak closure, each additional valve2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 93592 in California.

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

What 93592 covers

Code 93592 captures treatment of a paravalvular leak at each additional valve after the initial valve is addressed. These procedures are typically performed by an interventional cardiologist or structural heart team in a cardiac catheterization laboratory, using catheter-based devices to close the leak around a prosthetic valve. The code represents an additional valve site, not another device or another leak at the valve already treated.

Report 93592 only with the applicable primary valve-closure procedure, such as 93590 for a mitral valve or 93591 for an aortic valve. The operative report should identify the valve sites treated and support that closure was performed at an additional valve. As an add-on code, 93592 is paid only with a primary procedure and within that procedure’s global period; it is not reported as a stand-alone service.

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 93592 pays more and less in California

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

29 of 29 payment localities

How the 93592 rate is calculated

Each of 93592’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.

Payment rules and modifiers for 93592

The CMS indicators that decide how 93592 is paid alongside other services.

What modifiers do to the payment

When to use modifier 80

93592 compared with similar codes

How to choose

93590Mitral leak closureParavalvular leak

93590 reports the primary mitral paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.

93591Leak closureAortic valve

93591 reports the primary aortic paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.

93582PDA closureTranscatheter approach

93582 describes transcatheter closure of a patent ductus arteriosus, not closure of a leak around a prosthetic valve.

Codes related to 93592

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

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

Open CMS sourceHow we calculate rates