CPT code 93592: Valve leak closure, each additional valve2026 Medicare rate & RVUs in Mississippi
Reports transcatheter closure of a paravalvular leak involving an additional valve during the same treatment session as a primary valve closure.
In Mississippi, Medicare pays $315.56 for 93592 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 93592 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 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.
How Mississippi compares for 93592
Across 109 of 109 payment localities, the facility rate for 93592 runs from $311.42 in Arkansas to $452.31 in Alaska. Mississippi pays $315.56. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$315.56
- Los Angeles, CA · California$340.48+$24.92
- Washington, DC area · District of Columbia$351.72+$36.16
- Miami, FL · Florida$356.56+$41.00
- Chicago, IL · Illinois$352.42+$36.86
- Manhattan, NY · New York$362.08+$46.52
- Alaska · Alaska$452.31+$136.75
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $313.11 |
| ArkansasArkansas | — | $311.42 |
| ArizonaArizona | — | $322.90 |
| Bakersfield, CACalifornia | — | $329.54 |
| Chico, CACalifornia | — | $327.70 |
| El Centro, CACalifornia | — | $327.79 |
| Fresno, CACalifornia | — | $327.70 |
| Hanford, CACalifornia | — | $327.70 |
| Madera, CACalifornia | — | $327.70 |
| Merced, CACalifornia | — | $327.70 |
| Modesto, CACalifornia | — | $327.70 |
| Napa, CACalifornia | — | $349.94 |
| Oxnard, CACalifornia | — | $336.30 |
| Redding, CACalifornia | — | $327.70 |
| Rest of CaliforniaCalifornia | — | $327.70 |
| Riverside, CACalifornia | — | $333.68 |
| Sacramento, CACalifornia | — | $335.90 |
| Salinas, CACalifornia | — | $334.40 |
| San Diego, CACalifornia | — | $336.04 |
| Marin County, CACalifornia | — | $361.84 |
| San Francisco, CACalifornia | — | $361.23 |
| San Benito County, CACalifornia | — | $368.69 |
| Santa Clara County, CACalifornia | — | $366.18 |
| San Luis Obispo, CACalifornia | — | $329.79 |
| Santa Cruz, CACalifornia | — | $334.51 |
| Santa Maria, CACalifornia | — | $333.96 |
| Santa Rosa, CACalifornia | — | $337.48 |
| Stockton, CACalifornia | — | $327.70 |
| Vallejo, CACalifornia | — | $349.05 |
| Visalia, CACalifornia | — | $327.70 |
| Yuba City, CACalifornia | — | $327.70 |
| ColoradoColorado | — | $329.27 |
| ConnecticutConnecticut | — | $339.72 |
| DelawareDelaware | — | $325.89 |
| Fort Lauderdale, FLFlorida | — | $342.20 |
| Rest of FloridaFlorida | — | $333.94 |
| Atlanta, GAGeorgia | — | $332.18 |
| Rest of GeorgiaGeorgia | — | $325.23 |
| Hawaii, Guam, HIHawaii | — | $326.04 |
| IowaIowa | — | $312.00 |
| IdahoIdaho | — | $313.62 |
| East St. Louis, ILIllinois | — | $341.41 |
| Rest of IllinoisIllinois | — | $332.94 |
| Suburban Chicago, ILIllinois | — | $344.05 |
| IndianaIndiana | — | $314.19 |
| KansasKansas | — | $313.40 |
| KentuckyKentucky | — | $320.09 |
| New Orleans, LALouisiana | — | $326.59 |
| Rest of LouisianaLouisiana | — | $320.67 |
| Metropolitan Boston, MAMassachusetts | — | $345.09 |
| Rest of MassachusettsMassachusetts | — | $330.07 |
| Baltimore area, MDMaryland | — | $338.97 |
| Rest of MarylandMaryland | — | $328.70 |
| Rest of MaineMaine | — | $316.30 |
| Southern Maine, MEMaine | — | $319.90 |
| Detroit, MIMichigan | — | $337.67 |
| Rest of MichiganMichigan | — | $325.11 |
| MinnesotaMinnesota | — | $315.70 |
| Metropolitan Kansas City, MOMissouri | — | $323.63 |
| Metropolitan St. Louis, MOMissouri | — | $324.71 |
| Rest of MissouriMissouri | — | $319.84 |
| MontanaMontana | — | $326.96 |
| North CarolinaNorth Carolina | — | $317.24 |
| North DakotaNorth Dakota | — | $316.28 |
| NebraskaNebraska | — | $312.05 |
| New HampshireNew Hampshire | — | $326.73 |
| Northern New JerseyNew Jersey | — | $352.38 |
| Rest of New JerseyNew Jersey | — | $343.62 |
| New MexicoNew Mexico | — | $326.60 |
| NevadaNevada | — | $324.03 |
| NYC suburbs and Long Island, NYNew York | — | $368.28 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $347.11 |
| Queens, NYNew York | — | $360.46 |
| Rest of New YorkNew York | — | $319.22 |
| OhioOhio | — | $322.93 |
| OklahomaOklahoma | — | $317.79 |
| Portland, OROregon | — | $331.92 |
| Rest of OregonOregon | — | $321.44 |
| Metropolitan Philadelphia, PAPennsylvania | — | $337.15 |
| Rest of PennsylvaniaPennsylvania | — | $322.03 |
| Puerto RicoPuerto Rico | — | $327.26 |
| Rhode IslandRhode Island | — | $331.60 |
| South CarolinaSouth Carolina | — | $320.61 |
| South DakotaSouth Dakota | — | $315.02 |
| TennesseeTennessee | — | $314.24 |
| Austin, TXTexas | — | $328.27 |
| Beaumont, TXTexas | — | $321.36 |
| Brazoria, TXTexas | — | $324.68 |
| Dallas, TXTexas | — | $326.58 |
| Fort Worth, TXTexas | — | $326.33 |
| Galveston, TXTexas | — | $325.64 |
| Houston, TXTexas | — | $335.52 |
| Rest of TexasTexas | — | $322.78 |
| UtahUtah | — | $322.25 |
| VirginiaVirginia | — | $320.87 |
| Virgin Islands, VIUnited States Virgin Islands | — | $327.26 |
| VermontVermont | — | $317.60 |
| Rest of WashingtonWashington | — | $328.64 |
| King County, WAWashington | — | $347.71 |
| WisconsinWisconsin | — | $312.48 |
| West VirginiaWest Virginia | — | $328.42 |
| WyomingWyoming | — | $322.31 |
93592 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 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.
How the rate is built · 93592
RVUs × geographic indexes × conversion factor
Work7.80
7.80 RVUs× 1.000 GPCI
Practice expense1.45
1.45 RVUs× 1.000 GPCI
Malpractice0.54
0.54 RVUs× 1.000 GPCI
Adjusted RVUs
9.7900
Conversion factor
$33.4009
Medicare rate
$326.99
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,160
- Code
- 93592
- Physician work
- 7.80
- Practice expense
- 1.45
- Malpractice
- 0.54
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.80 | × 1.000 | 7.8000 |
| Practice expense | 1.45 | × 0.861 | 1.2484 |
| Malpractice | 0.54 | × 0.739 | 0.3991 |
| Total RVUs | 9.4475 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$315.56
Facility: (7.8 × 1 + 1.45 × 0.861 + 0.54 × 0.739) × $33.4009 = $315.56
Payment rules and modifiers for 93592
The CMS indicators that decide how 93592 is paid alongside other services.
CMS payment indicators · 93592
Valve leak closure, each additional valve
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
93592 without 80 · national facility
$326.99
Valve leak closure, each additional valve
93592-80 · Assistant: 16%
$52.32
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 93592 has changed in Mississippi
93592 · 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
January 1, 2017
RVU17A
No ratechanged toNo rate
Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $315.56 | RVU26D |
| 2026-07-01 | Not available in this setting | $315.56 | RVU26C |
| 2026-04-01 | Not available in this setting | $315.56 | RVU26B |
| 2026-01-01 | Not available in this setting | $315.56 | RVU26A |
| 2025-10-01 | Not available in this setting | $348.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $348.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $348.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $348.25 | RVU25A |
| 2024-10-01 | Not available in this setting | $357.25 | RVU24D |
| 2024-07-01 | Not available in this setting | $357.25 | RVU24C |
| 2024-04-01 | Not available in this setting | $357.25 | RVU24B |
| 2024-03-09 | Not available in this setting | $357.25 | RVU24AR |
| 2024-01-01 | Not available in this setting | $351.42 | RVU24A |
| 2023-10-01 | Not available in this setting | $365.31 | RVU23D |
| 2023-07-01 | Not available in this setting | $365.31 | RVU23C |
| 2023-04-01 | Not available in this setting | $365.31 | RVU23B |
| 2023-01-01 | Not available in this setting | $365.31 | RVU23A |
| 2022-10-01 | Not available in this setting | $372.66 | RVU22D |
| 2022-07-01 | Not available in this setting | $372.66 | RVU22C |
| 2022-04-01 | Not available in this setting | $372.66 | RVU22B |
| 2022-01-01 | Not available in this setting | $372.66 | RVU22A |
| 2021-10-01 | Not available in this setting | $375.10 | RVU21D |
| 2021-07-01 | Not available in this setting | $375.10 | RVU21C |
| 2021-04-01 | Not available in this setting | $375.10 | RVU21B |
| 2021-01-01 | Not available in this setting | $375.10 | RVU21A |
| 2020-10-01 | Not available in this setting | $386.12 | RVU20D |
| 2020-07-01 | Not available in this setting | $386.12 | RVU20C |
| 2020-04-01 | Not available in this setting | $386.12 | RVU20B |
| 2020-01-01 | Not available in this setting | $386.12 | RVU20A |
| 2019-10-01 | Not available in this setting | $384.51 | RVU19D |
| 2019-07-01 | Not available in this setting | $384.51 | RVU19C |
| 2019-04-01 | Not available in this setting | $384.51 | RVU19B |
| 2019-01-01 | Not available in this setting | $384.51 | RVU19A |
| 2018-10-01 | Not available in this setting | $382.84 | RVU18D |
| 2018-07-01 | Not available in this setting | $382.84 | RVU18C |
| 2018-04-01 | Not available in this setting | $382.84 | RVU18B |
| 2018-01-01 | Not available in this setting | $382.84 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $407.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $407.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $407.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $407.87 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
93592 billing questions
When is 93592 reported instead of 93590 or 93591?
Use 93590 or 93591 for the primary mitral or aortic valve closure, respectively. Report 93592 for each additional valve treated during the procedure.
Can 93592 be billed by itself?
No. It is an add-on code and must be reported with an applicable primary valve-closure procedure.
What documentation supports an additional unit?
Document the valve site treated and the closure performed there. The record should distinguish each additional valve from the primary valve site.
Does the primary procedure's global period affect 93592?
Yes. CMS treats this add-on service as paid within the primary procedure's global period.
Does 93592 describe another leak at the same valve?
No. It identifies closure at each additional valve, rather than another leak or device at the valve already treated.
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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