FeeBase
Log inGet started
Menu

Billing code 92987: Mitral valvuloplastyMedicare rate & RVUs

Reports catheter-based balloon dilation of a narrowed mitral valve, typically performed for mitral stenosis in a cardiac catheterization laboratory.

CMS RVU26DEffective Oct 1, 2026109 payment localities154 Medicare services in 2024

Medicare pays $1,205.10 for 92987 nationally in a facility.

Medicare rate · 92987

Mitral valvuloplasty

Swap in your local Medicare rate.

Work RVUs
22.8
Total RVUs
36.08
Global days
090

National rate · 2026

$1,205.10

Facility setting, before claim adjustments.

See every locality for 92987 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 92987 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92987 covers

An interventional cardiologist uses a catheter-delivered balloon to widen a narrowed mitral valve, typically to treat mitral stenosis. The catheter is advanced through vascular access, and the balloon is positioned across the valve and inflated to improve its opening. The procedure is generally performed in a cardiac catheterization laboratory rather than through open valve surgery.

Report 92987 for percutaneous balloon treatment of the mitral valve; balloon procedures on the aortic or pulmonary valve use different codes. The procedure report should identify the mitral stenosis, the percutaneous balloon approach, and the work and findings documented during treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; 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 92987 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

92987 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,094.96
Alaska*Unavailable$1,523.72
ArizonaUnavailable$1,171.35
ArkansasUnavailable$1,081.67
AtlantaUnavailable$1,247.24
AustinUnavailable$1,201.91
BakersfieldUnavailable$1,175.94
Baltimore/Surr. CntysUnavailable$1,278.70
BeaumontUnavailable$1,168.55
BrazoriaUnavailable$1,169.85

92987 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
92987 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

How the 92987 rate is calculated

Each of 92987’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 · 92987

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 22.80Practice expense 7.98Malpractice 5.30

36.0800 adjusted RVUs×$33.4009 conversion factor=$1,205.10

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 92987

92987 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 92987

Mitral valvuloplasty

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 92987

Mitral valvuloplasty

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

92987 without 51 · national facility

$1,205.10

Mitral valvuloplasty

92987-51 · Second procedure: 50%

$602.55

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

92987 compared with similar codes

Compare codes

92987 vs 92986 vs 92990 vs 33418 vs 33430: national Medicare rates

Swap in your local Medicare rate.

  • 92987
    Mitral valvuloplasty · 22.8 wRVU
    —
  • 92986
    Aortic valvuloplasty · 22.04 wRVU
    —
  • 92990
    Valve dilation · 17.81 wRVU
    —
  • 33418
    Mitral valve repair · 31.44 wRVU
    —
  • 33430
    Mitral valve replacement · 49.66 wRVU
    —

How to choose

92986Aortic valvuloplasty
Use 92987 for balloon dilation of the mitral valve; 92986 is the corresponding balloon procedure for the aortic valve.
92990Valve dilation
Use 92987 for the mitral valve. Code 92990 is for balloon treatment of the pulmonary valve.
33418Mitral valve repair
92987 widens a narrowed mitral valve with a balloon. Code 33418 describes a transcatheter mitral valve repair approach, not balloon valvuloplasty.
33430Mitral valve replacement
92987 is a percutaneous balloon procedure that treats mitral stenosis; 33430 describes mitral valve replacement through an open surgical approach.

Codes related to 92987

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

Codes related to 92987
CodeHow it relatesNational office range
Same family
92986Aortic valvuloplastySibling balloon valvuloplasty code for treatment of the aortic valve.No office rate
92990Valve dilationSibling balloon valvuloplasty code for treatment of the pulmonary valve.No office rate
Used instead
33418Mitral valve repairTranscatheter mitral repair is a different catheter-based treatment approach.No office rate
33430Mitral valve replacementMitral valve replacement is an open surgical option, rather than balloon dilation.No office rate

92987 billing questions

How does 92987 differ from 92986 and 92990?

92987 is for balloon dilation of the mitral valve. The sibling codes 92986 and 92990 describe balloon procedures on the aortic and pulmonary valves, respectively.

Is modifier 50 appropriate for this procedure?

No. CMS identifies bilateral adjustment as inappropriate for 92987 because the descriptor and valve anatomy do not support bilateral reporting.

What documentation supports 92987?

The procedure report should support mitral stenosis, catheter-based balloon treatment of the mitral valve, and the procedural work and findings.

How does the 90-day global period affect related care?

The global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

For multiple procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction.

When is assistant-at-surgery payment allowed?

CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

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 92987PPRRVU2026_Oct_nonQPP.csv, line 11,929 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 92987 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 92987 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →