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Billing code 93592: Valve leak closureMedicare rate & RVUs

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, 2026109 payment localities88 Medicare services in 2024

Medicare pays $326.99 for 93592 nationally in a facility.

Medicare rate · 93592

Valve leak closure

Swap in your local Medicare rate.

Work RVUs
7.8
Total RVUs
9.79
Global days
ZZZ

National rate · 2026

$326.99

Facility setting, before claim adjustments.

See every locality for 93592 → · 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 93592 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 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

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

109 of 109 payment localities

93592 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$313.11
Alaska*Unavailable$452.31
ArizonaUnavailable$322.90
ArkansasUnavailable$311.42
AtlantaUnavailable$332.18
AustinUnavailable$328.27
BakersfieldUnavailable$329.54
Baltimore/Surr. CntysUnavailable$338.97
BeaumontUnavailable$321.36
BrazoriaUnavailable$324.68

93592 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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

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

Swap in your local Medicare rate.

Work 7.80Practice expense 1.45Malpractice 0.54

9.7900 adjusted RVUs×$33.4009 conversion factor=$326.99

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

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

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

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

93592 compared with similar codes

Compare codes

93592 vs 93590 vs 93591 vs 93582: national Medicare rates

Swap in your local Medicare rate.

  • 93592
    Valve leak closure · 7.8 wRVU
    —
  • 93590
    Mitral leak closure · 21.16 wRVU
    —
  • 93591
    Leak closure · 17.52 wRVU
    —
  • 93582
    PDA closure · 12 wRVU
    —

How to choose

93590Mitral leak closure
93590 reports the primary mitral paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.
93591Leak closure
93591 reports the primary aortic paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.
93582PDA closure
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.

Codes related to 93592
CodeHow it relatesNational office range
Primary code
93590Mitral leak closurePrimary procedure for transcatheter closure of a mitral paravalvular leak.No office rate
93591Leak closurePrimary procedure for transcatheter closure of an aortic paravalvular leak.No office rate

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)

Open CMS sourceHow we calculate rates

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