No office rate
Use 92971 for external counterpulsation with cuffs; 92970 describes internal circulatory assistance, such as an intra-aortic balloon pump.
On this page
CMS RVU26D · Effective 2026-10-01
92971 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$83.68
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiology
About 92971: External counterpulsation cardiac assist
Reports external counterpulsation therapy using synchronized pressure cuffs to support circulation, commonly for patients with persistent angina symptoms.
This service covers external counterpulsation, commonly delivered with pressure cuffs around the legs that inflate and deflate in coordination with the heartbeat. The timed pressure changes support circulation without an internal assist device. It is typically provided in an outpatient setting by trained staff under physician supervision for patients receiving a course of external counterpulsation therapy, often for persistent angina symptoms.
Report the service for the external assist treatment, not separately for each cuff or leg. Documentation should identify the treatment provided and support the use of external circulatory assistance. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 92971
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.73 · 66%
- Practice expense (office) RVU0.48 · 18%
- Malpractice RVU0.41 · 16%
197
Medicare services in 2024 · #4341 by national volume
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.
92971 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
92953 is for temporary external pacing to manage a rhythm problem; 92971 provides external circulatory assistance.
$161.54
92960 reports external electrical cardioversion for an arrhythmia, not synchronized cuff-based circulatory support.
The same code, a different location
How does Madera compare?
92971 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 92971
Office
Unavailable
Facility
$83.68
No comparable office rate is available.
Modesto
California · 92971
Office
Unavailable
Facility
$83.68
No comparable office rate is available.
Napa
California · 92971
Office
Unavailable
Facility
$89.51
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 92971
Office
Unavailable
Facility
$86.88
No comparable office rate is available.
Redding
California · 92971
Office
Unavailable
Facility
$83.68
No comparable office rate is available.
Rest Of California
California · 92971
Office
Unavailable
Facility
$83.68
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 92971
Office
Unavailable
Facility
$88.08
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 92971
Office
Unavailable
Facility
$85.85
No comparable office rate is available.
Salinas
California · 92971
Office
Unavailable
Facility
$85.50
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 92971
Office
Unavailable
Facility
$86.11
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 92971
Office
Unavailable
Facility
$92.16
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 92971
Office
Unavailable
Facility
$91.70
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 92971
Office
Unavailable
Facility
$94.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 92971
Office
Unavailable
Facility
$92.70
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 92971
Office
Unavailable
Facility
$84.37
No comparable office rate is available.
Santa Cruz-Watsonville
California · 92971
Office
Unavailable
Facility
$85.82
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 92971
Office
Unavailable
Facility
$85.44
No comparable office rate is available.
Santa Rosa-Petaluma
California · 92971
Office
Unavailable
Facility
$86.55
No comparable office rate is available.
Stockton
California · 92971
Office
Unavailable
Facility
$83.68
No comparable office rate is available.
Vallejo
California · 92971
Office
Unavailable
Facility
$88.84
No comparable office rate is available.
Visalia
California · 92971
Office
Unavailable
Facility
$83.68
No comparable office rate is available.
Yuba City
California · 92971
Office
Unavailable
Facility
$83.68
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 92971
Office
Unavailable
Facility
$95.03
No comparable office rate is available.
Miami
Florida · 92971
Office
Unavailable
Facility
$109.11
No comparable office rate is available.
Chicago
Illinois · 92971
Office
Unavailable
Facility
$105.73
No comparable office rate is available.
Manhattan
New York · 92971
Office
Unavailable
Facility
$101.83
No comparable office rate is available.
Alaska*
Alaska · 92971
Office
Unavailable
Facility
$111.30
No comparable office rate is available.
Alabama
Alabama · 92971
Office
Unavailable
Facility
$79.56
No comparable office rate is available.
Arkansas
Arkansas · 92971
Office
Unavailable
Facility
$78.61
No comparable office rate is available.
Arizona
Arizona · 92971
Office
Unavailable
Facility
$85.04
No comparable office rate is available.
Colorado
Colorado · 92971
Office
Unavailable
Facility
$86.23
No comparable office rate is available.
Connecticut
Connecticut · 92971
Office
Unavailable
Facility
$92.78
No comparable office rate is available.
Delaware
Delaware · 92971
Office
Unavailable
Facility
$86.22
No comparable office rate is available.
Fort Lauderdale
Florida · 92971
Office
Unavailable
Facility
$98.78
No comparable office rate is available.
Rest Of Florida
Florida · 92971
Office
Unavailable
Facility
$93.69
No comparable office rate is available.
Atlanta
Georgia · 92971
Office
Unavailable
Facility
$90.69
No comparable office rate is available.
Rest Of Georgia
Georgia · 92971
Office
Unavailable
Facility
$88.41
No comparable office rate is available.
Hawaii, Guam
Hawaii · 92971
Office
Unavailable
Facility
$83.94
No comparable office rate is available.
Iowa
Iowa · 92971
Office
Unavailable
Facility
$77.89
No comparable office rate is available.
Idaho
Idaho · 92971
Office
Unavailable
Facility
$79.01
No comparable office rate is available.
East St. Louis
Illinois · 92971
Office
Unavailable
Facility
$100.11
No comparable office rate is available.
Rest Of Illinois
Illinois · 92971
Office
Unavailable
Facility
$93.83
No comparable office rate is available.
Suburban Chicago
Illinois · 92971
Office
Unavailable
Facility
$98.92
No comparable office rate is available.
Indiana
Indiana · 92971
Office
Unavailable
Facility
$79.30
No comparable office rate is available.
Kansas
Kansas · 92971
Office
Unavailable
Facility
$79.18
No comparable office rate is available.
Kentucky
Kentucky · 92971
Office
Unavailable
Facility
$84.57
No comparable office rate is available.
New Orleans
Louisiana · 92971
Office
Unavailable
Facility
$88.43
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 92971
Office
Unavailable
Facility
$85.09
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 92971
Office
Unavailable
Facility
$91.48
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 92971
Office
Unavailable
Facility
$86.50
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 92971
Office
Unavailable
Facility
$92.85
No comparable office rate is available.
Rest Of Maryland
Maryland · 92971
Office
Unavailable
Facility
$87.16
No comparable office rate is available.
Rest Of Maine
Maine · 92971
Office
Unavailable
Facility
$81.05
No comparable office rate is available.
Southern Maine
Maine · 92971
Office
Unavailable
Facility
$82.31
No comparable office rate is available.
Detroit
Michigan · 92971
Office
Unavailable
Facility
$96.34
No comparable office rate is available.
Rest Of Michigan
Michigan · 92971
Office
Unavailable
Facility
$87.88
No comparable office rate is available.
Minnesota
Minnesota · 92971
Office
Unavailable
Facility
$78.33
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 92971
Office
Unavailable
Facility
$86.22
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 92971
Office
Unavailable
Facility
$86.77
No comparable office rate is available.
Rest Of Missouri
Missouri · 92971
Office
Unavailable
Facility
$84.94
No comparable office rate is available.
Mississippi
Mississippi · 92971
Office
Unavailable
Facility
$81.71
No comparable office rate is available.
Montana**
Montana · 92971
Office
Unavailable
Facility
$87.48
No comparable office rate is available.
North Carolina
North Carolina · 92971
Office
Unavailable
Facility
$81.49
No comparable office rate is available.
North Dakota**
North Dakota · 92971
Office
Unavailable
Facility
$79.38
No comparable office rate is available.
Nebraska
Nebraska · 92971
Office
Unavailable
Facility
$77.76
No comparable office rate is available.
New Hampshire
New Hampshire · 92971
Office
Unavailable
Facility
$86.46
No comparable office rate is available.
Northern Nj
New Jersey · 92971
Office
Unavailable
Facility
$94.65
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 92971
Office
Unavailable
Facility
$92.63
No comparable office rate is available.
New Mexico
New Mexico · 92971
Office
Unavailable
Facility
$88.93
No comparable office rate is available.
Nevada**
Nevada · 92971
Office
Unavailable
Facility
$85.24
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 92971
Office
Unavailable
Facility
$105.97
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 92971
Office
Unavailable
Facility
$94.51
No comparable office rate is available.
Queens
New York · 92971
Office
Unavailable
Facility
$100.18
No comparable office rate is available.
Rest Of New York
New York · 92971
Office
Unavailable
Facility
$82.64
No comparable office rate is available.
Ohio
Ohio · 92971
Office
Unavailable
Facility
$86.23
No comparable office rate is available.
Oklahoma
Oklahoma · 92971
Office
Unavailable
Facility
$82.74
No comparable office rate is available.
Portland
Oregon · 92971
Office
Unavailable
Facility
$86.71
No comparable office rate is available.
Rest Of Oregon
Oregon · 92971
Office
Unavailable
Facility
$83.38
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 92971
Office
Unavailable
Facility
$91.85
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 92971
Office
Unavailable
Facility
$85.44
No comparable office rate is available.
Puerto Rico
Puerto Rico · 92971
Office
Unavailable
Facility
$87.48
No comparable office rate is available.
Rhode Island
Rhode Island · 92971
Office
Unavailable
Facility
$87.66
No comparable office rate is available.
South Carolina
South Carolina · 92971
Office
Unavailable
Facility
$84.24
No comparable office rate is available.
South Dakota**
South Dakota · 92971
Office
Unavailable
Facility
$78.42
No comparable office rate is available.
Tennessee
Tennessee · 92971
Office
Unavailable
Facility
$79.71
No comparable office rate is available.
Austin
Texas · 92971
Office
Unavailable
Facility
$86.99
No comparable office rate is available.
Beaumont
Texas · 92971
Office
Unavailable
Facility
$85.10
No comparable office rate is available.
Brazoria
Texas · 92971
Office
Unavailable
Facility
$84.82
No comparable office rate is available.
Dallas
Texas · 92971
Office
Unavailable
Facility
$86.02
No comparable office rate is available.
Fort Worth
Texas · 92971
Office
Unavailable
Facility
$86.04
No comparable office rate is available.
Galveston
Texas · 92971
Office
Unavailable
Facility
$85.50
No comparable office rate is available.
Houston
Texas · 92971
Office
Unavailable
Facility
$93.01
No comparable office rate is available.
Rest Of Texas
Texas · 92971
Office
Unavailable
Facility
$85.36
No comparable office rate is available.
Utah
Utah · 92971
Office
Unavailable
Facility
$85.15
No comparable office rate is available.
Virginia
Virginia · 92971
Office
Unavailable
Facility
$83.21
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 92971
Office
Unavailable
Facility
$87.48
No comparable office rate is available.
Vermont
Vermont · 92971
Office
Unavailable
Facility
$80.59
No comparable office rate is available.
Rest Of Washington
Washington · 92971
Office
Unavailable
Facility
$85.84
No comparable office rate is available.
Seattle (King Cnty)
Washington · 92971
Office
Unavailable
Facility
$91.53
No comparable office rate is available.
Wisconsin
Wisconsin · 92971
Office
Unavailable
Facility
$77.36
No comparable office rate is available.
West Virginia
West Virginia · 92971
Office
Unavailable
Facility
$91.31
No comparable office rate is available.
Wyoming**
Wyoming · 92971
Office
Unavailable
Facility
$83.95
No comparable office rate is available.
See how rates vary across the country
92971 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 92971 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$92.05
$83.68 × 110% = $92.05
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92971 in Madera.
PPRRVU2026_Oct_nonQPP.csv
11,918
- Code
- 92971
- Physician work
- 1.73
- Practice expense
- 0.48
- Malpractice
- 0.41
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.73 | × 1.017 | 1.7594 |
| Practice expense | 0.48 | × 1.096 | 0.5261 |
| Malpractice | 0.41 | × 0.536 | 0.2198 |
| Total RVUs | 2.5052 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$83.68
Open 92971 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.73 | 1.017 |
| Practice expense | 0.48 | 1.096 |
| Malpractice | 0.41 | 0.536 |
(1.73 × 1.017 + 0.48 × 1.096 + 0.41 × 0.536) × $33.4009 = $83.68
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
92971 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $83.68 | RVU26D |
| 2026-07-01 | Not available in this setting | $83.68 | RVU26C |
| 2026-04-01 | Not available in this setting | $83.68 | RVU26B |
| 2026-01-01 | Not available in this setting | $83.68 | RVU26A |
| 2025-10-01 | Not available in this setting | $92.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $92.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $92.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $92.70 | RVU25A |
92971 billing questions
How is this different from 92970?
92971 describes external counterpulsation, typically using cuffs on the legs. 92970 is for internal circulatory assistance, such as an intra-aortic balloon pump.
Should modifier 50 be reported?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
Are the cuffs or individual legs billed separately?
No. The service is the external counterpulsation treatment; the cuffs and treated legs are not separate units.
Is same-day evaluation or follow-up separately included?
The code has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant, co-surgeon, or surgical team be reported?
Assistant-at-surgery payment requires documented medical necessity. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
11,91592960,,Cardioversion electric ext,A,,1.95,2.53,,0.74,,0.15,4.63,2.84,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91692961,,Cardioversion electric int,A,,4.23,1.24,NA,1.24,,0.98,6.45,6.45,0,000,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91792970,,Cardioassist internal,A,,3.42,0.64,NA,0.64,,0.82,4.88,4.88,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91892971,,Cardioassist external,A,,1.73,0.48,NA,0.48,,0.41,2.62,2.62,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91992972,,Perq trluml coronry lithotrp,A,,2.90,0.55,NA,0.55,,0.21,3.66,3.66,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92092973,,Prq trluml c mchn asp thrmbc,A,,1.71,0.33,NA,0.33,,0.40,2.44,2.44,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92192974,,Cath place cardio brachytx,A,,2.93,0.55,NA,0.55,,0.67,4.15,4.15,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508