Billing code 92924: Coronary atherectomyMedicare rate & RVUs

Medicare pays $469.28 for 92924 nationally in a facility.

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

What 92924 covers

An interventional cardiologist typically performs this service in a cardiac catheterization laboratory, using a catheter-based atherectomy device to modify or remove coronary plaque and balloon angioplasty to treat the narrowed vessel. The code covers treatment of one major coronary artery or branch when atherectomy and angioplasty are performed without stent placement in that vessel.

Select the code from the procedure actually performed: the report should identify the treated artery or branch, atherectomy, balloon angioplasty, and whether a stent was placed. Angioplasty in the treated vessel is included, so it is not separately reported for that same work. The code has a 0-day global period, which includes same-day preoperative and postoperative care. When other separately payable procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this coronary-vessel service. An assistant is paid only when medical necessity is documented; 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.

Where 92924 pays more and less

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

109 of 109 payment localities

92924 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 92924 rate is calculated

Each of 92924’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 92924

The CMS indicators that decide how 92924 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

92924 compared with similar codes

How to choose

92920Coronary angioplasty

92920 describes coronary angioplasty without atherectomy. Choose 92924 when atherectomy is performed along with angioplasty in the treated artery or branch.

92928Coronary stenting

92928 is for stent placement with angioplasty when performed, without atherectomy. When atherectomy and a stent are both performed in the artery, compare with 92933.

92933Coronary intervention

92933 covers coronary atherectomy with stent placement and angioplasty when performed. Use 92924 when atherectomy and angioplasty are performed without a stent in that artery.

Codes related to 92924

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