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

Reports transcatheter closure of a paravalvular leak involving an additional valve during the same treatment session as a primary valve closure.

CMS RVU26DEffective Oct 1, 2026One payment locality88 Medicare services in 2024

In Utah, Medicare pays $322.25 for 93592 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$322.25Hospital or facility

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.

We’ll open 93592 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 93592 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 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 Utah 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. Utah pays $322.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

93592 in Utah vs other payment areas
  1. Utah · this page$322.25
  2. Los Angeles, CA · California$340.48+$18.23
  3. Washington, DC area · District of Columbia$351.72+$29.47
  4. Miami, FL · Florida$356.56+$34.31
  5. Chicago, IL · Illinois$352.42+$30.17
  6. Manhattan, NY · New York$362.08+$39.83
  7. Alaska · Alaska$452.31+$130.06

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

93592 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
93592 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 93592 in every payment locality

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

Office or facility?

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 93592 in Utah
ComponentRVULocality factorAdjusted
Physician work7.80× 1.0007.8000
Practice expense1.45× 0.9401.3630
Malpractice0.54× 0.8980.4849
Total RVUs9.6479
Conversion factor× 33.4009

Facility rate, Utah$322.25

Facility: (7.8 × 1 + 1.45 × 0.94 + 0.54 × 0.898) × $33.4009 = $322.25

Open 93592 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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.

When to use modifier 80

How 93592 has changed in Utah

93592 · 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
  1. 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.

  2. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$322.25RVU26D
2026-07-01Not available in this setting$322.25RVU26C
2026-04-01Not available in this setting$322.25RVU26B
2026-01-01Not available in this setting$322.25RVU26A
2025-10-01Not available in this setting$358.31RVU25D
2025-07-01Not available in this setting$358.31RVU25C
2025-04-01Not available in this setting$358.31RVU25B
2025-01-01Not available in this setting$358.31RVU25A
2024-10-01Not available in this setting$367.49RVU24D
2024-07-01Not available in this setting$367.49RVU24C
2024-04-01Not available in this setting$367.49RVU24B
2024-03-09Not available in this setting$367.49RVU24AR
2024-01-01Not available in this setting$361.49RVU24A
2023-10-01Not available in this setting$375.82RVU23D
2023-07-01Not available in this setting$375.82RVU23C
2023-04-01Not available in this setting$375.82RVU23B
2023-01-01Not available in this setting$375.82RVU23A
2022-10-01Not available in this setting$382.92RVU22D
2022-07-01Not available in this setting$382.92RVU22C
2022-04-01Not available in this setting$382.92RVU22B
2022-01-01Not available in this setting$382.92RVU22A
2021-10-01Not available in this setting$385.30RVU21D
2021-07-01Not available in this setting$385.30RVU21C
2021-04-01Not available in this setting$385.30RVU21B
2021-01-01Not available in this setting$385.30RVU21A
2020-10-01Not available in this setting$402.54RVU20D
2020-07-01Not available in this setting$402.54RVU20C
2020-04-01Not available in this setting$402.54RVU20B
2020-01-01Not available in this setting$402.54RVU20A
2019-10-01Not available in this setting$406.37RVU19D
2019-07-01Not available in this setting$406.37RVU19C
2019-04-01Not available in this setting$406.37RVU19B
2019-01-01Not available in this setting$406.37RVU19A
2018-10-01Not available in this setting$404.59RVU18D
2018-07-01Not available in this setting$404.59RVU18C
2018-04-01Not available in this setting$404.59RVU18B
2018-01-01Not available in this setting$404.59RVU18AR1
2017-10-01Not available in this setting$459.04RVU17D
2017-07-01Not available in this setting$459.04RVU17C
2017-04-01Not available in this setting$459.04RVU17B
2017-01-01Not available in this setting$459.04RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 93592 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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
RVUs for 93592PPRRVU2026_Oct_nonQPP.csv, line 12,160 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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