No office rate
Use 92987 for balloon dilation of the mitral valve; 92986 is the corresponding balloon procedure for the aortic valve.
On this page
CMS RVU26D · Effective 2026-10-01
92987 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1161.50
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 procedure
About 92987: Percutaneous mitral balloon valvuloplasty
Reports catheter-based balloon dilation of a narrowed mitral valve, typically performed for mitral stenosis in a cardiac catheterization laboratory.
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.
CMS billing rules for 92987
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- 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 RVU22.80 · 63%
- Practice expense (office) RVU7.98 · 22%
- Malpractice RVU5.30 · 15%
154
Medicare services in 2024 · #4543 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.
92987 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
Use 92987 for the mitral valve. Code 92990 is for balloon treatment of the pulmonary valve.
No office rate
92987 widens a narrowed mitral valve with a balloon. Code 33418 describes a transcatheter mitral valve repair approach, not balloon valvuloplasty.
No office rate
92987 is a percutaneous balloon procedure that treats mitral stenosis; 33430 describes mitral valve replacement through an open surgical approach.
The same code, a different location
How does Modesto compare?
92987 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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
Madera
California · 92987
Office
Unavailable
Facility
$1161.50
No comparable office rate is available.
Merced
California · 92987
Office
Unavailable
Facility
$1161.50
No comparable office rate is available.
Napa
California · 92987
Office
Unavailable
Facility
$1250.74
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 92987
Office
Unavailable
Facility
$1208.20
No comparable office rate is available.
Redding
California · 92987
Office
Unavailable
Facility
$1161.50
No comparable office rate is available.
Rest Of California
California · 92987
Office
Unavailable
Facility
$1161.50
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 92987
Office
Unavailable
Facility
$1218.38
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 92987
Office
Unavailable
Facility
$1193.83
No comparable office rate is available.
Salinas
California · 92987
Office
Unavailable
Facility
$1188.95
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 92987
Office
Unavailable
Facility
$1199.12
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 92987
Office
Unavailable
Facility
$1290.96
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 92987
Office
Unavailable
Facility
$1284.94
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 92987
Office
Unavailable
Facility
$1324.54
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 92987
Office
Unavailable
Facility
$1299.94
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 92987
Office
Unavailable
Facility
$1172.96
No comparable office rate is available.
Santa Cruz-Watsonville
California · 92987
Office
Unavailable
Facility
$1196.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 92987
Office
Unavailable
Facility
$1188.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 92987
Office
Unavailable
Facility
$1206.58
No comparable office rate is available.
Stockton
California · 92987
Office
Unavailable
Facility
$1161.50
No comparable office rate is available.
Vallejo
California · 92987
Office
Unavailable
Facility
$1242.07
No comparable office rate is available.
Visalia
California · 92987
Office
Unavailable
Facility
$1161.50
No comparable office rate is available.
Yuba City
California · 92987
Office
Unavailable
Facility
$1161.50
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 92987
Office
Unavailable
Facility
$1313.68
No comparable office rate is available.
Miami
Florida · 92987
Office
Unavailable
Facility
$1486.70
No comparable office rate is available.
Chicago
Illinois · 92987
Office
Unavailable
Facility
$1441.02
No comparable office rate is available.
Manhattan
New York · 92987
Office
Unavailable
Facility
$1400.76
No comparable office rate is available.
Alaska*
Alaska · 92987
Office
Unavailable
Facility
$1523.72
No comparable office rate is available.
Alabama
Alabama · 92987
Office
Unavailable
Facility
$1094.96
No comparable office rate is available.
Arkansas
Arkansas · 92987
Office
Unavailable
Facility
$1081.67
No comparable office rate is available.
Arizona
Arizona · 92987
Office
Unavailable
Facility
$1171.35
No comparable office rate is available.
Colorado
Colorado · 92987
Office
Unavailable
Facility
$1192.53
No comparable office rate is available.
Connecticut
Connecticut · 92987
Office
Unavailable
Facility
$1278.03
No comparable office rate is available.
Delaware
Delaware · 92987
Office
Unavailable
Facility
$1187.83
No comparable office rate is available.
Fort Lauderdale
Florida · 92987
Office
Unavailable
Facility
$1351.61
No comparable office rate is available.
Rest Of Florida
Florida · 92987
Office
Unavailable
Facility
$1282.42
No comparable office rate is available.
Atlanta
Georgia · 92987
Office
Unavailable
Facility
$1247.24
No comparable office rate is available.
Rest Of Georgia
Georgia · 92987
Office
Unavailable
Facility
$1210.31
No comparable office rate is available.
Hawaii, Guam
Hawaii · 92987
Office
Unavailable
Facility
$1167.09
No comparable office rate is available.
Iowa
Iowa · 92987
Office
Unavailable
Facility
$1075.70
No comparable office rate is available.
Idaho
Idaho · 92987
Office
Unavailable
Facility
$1090.49
No comparable office rate is available.
East St. Louis
Illinois · 92987
Office
Unavailable
Facility
$1363.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 92987
Office
Unavailable
Facility
$1281.58
No comparable office rate is available.
Suburban Chicago
Illinois · 92987
Office
Unavailable
Facility
$1354.29
No comparable office rate is available.
Indiana
Indiana · 92987
Office
Unavailable
Facility
$1094.66
No comparable office rate is available.
Kansas
Kansas · 92987
Office
Unavailable
Facility
$1091.71
No comparable office rate is available.
Kentucky
Kentucky · 92987
Office
Unavailable
Facility
$1160.47
No comparable office rate is available.
New Orleans
Louisiana · 92987
Office
Unavailable
Facility
$1213.45
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 92987
Office
Unavailable
Facility
$1167.02
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 92987
Office
Unavailable
Facility
$1268.56
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 92987
Office
Unavailable
Facility
$1195.48
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 92987
Office
Unavailable
Facility
$1278.70
No comparable office rate is available.
Rest Of Maryland
Maryland · 92987
Office
Unavailable
Facility
$1201.40
No comparable office rate is available.
Rest Of Maine
Maine · 92987
Office
Unavailable
Facility
$1116.87
No comparable office rate is available.
Southern Maine
Maine · 92987
Office
Unavailable
Facility
$1137.38
No comparable office rate is available.
Detroit
Michigan · 92987
Office
Unavailable
Facility
$1317.21
No comparable office rate is available.
Rest Of Michigan
Michigan · 92987
Office
Unavailable
Facility
$1204.75
No comparable office rate is available.
Minnesota
Minnesota · 92987
Office
Unavailable
Facility
$1088.21
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 92987
Office
Unavailable
Facility
$1184.77
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 92987
Office
Unavailable
Facility
$1192.66
No comparable office rate is available.
Rest Of Missouri
Missouri · 92987
Office
Unavailable
Facility
$1163.72
No comparable office rate is available.
Mississippi
Mississippi · 92987
Office
Unavailable
Facility
$1121.85
No comparable office rate is available.
Montana**
Montana · 92987
Office
Unavailable
Facility
$1204.75
No comparable office rate is available.
North Carolina
North Carolina · 92987
Office
Unavailable
Facility
$1123.34
No comparable office rate is available.
North Dakota**
North Dakota · 92987
Office
Unavailable
Facility
$1099.95
No comparable office rate is available.
Nebraska
Nebraska · 92987
Office
Unavailable
Facility
$1074.47
No comparable office rate is available.
New Hampshire
New Hampshire · 92987
Office
Unavailable
Facility
$1193.90
No comparable office rate is available.
Northern Nj
New Jersey · 92987
Office
Unavailable
Facility
$1307.77
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 92987
Office
Unavailable
Facility
$1277.26
No comparable office rate is available.
New Mexico
New Mexico · 92987
Office
Unavailable
Facility
$1218.56
No comparable office rate is available.
Nevada**
Nevada · 92987
Office
Unavailable
Facility
$1175.81
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 92987
Office
Unavailable
Facility
$1455.93
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 92987
Office
Unavailable
Facility
$1301.87
No comparable office rate is available.
Queens
New York · 92987
Office
Unavailable
Facility
$1380.60
No comparable office rate is available.
Rest Of New York
New York · 92987
Office
Unavailable
Facility
$1139.20
No comparable office rate is available.
Ohio
Ohio · 92987
Office
Unavailable
Facility
$1183.33
No comparable office rate is available.
Oklahoma
Oklahoma · 92987
Office
Unavailable
Facility
$1137.11
No comparable office rate is available.
Portland
Oregon · 92987
Office
Unavailable
Facility
$1201.56
No comparable office rate is available.
Rest Of Oregon
Oregon · 92987
Office
Unavailable
Facility
$1151.46
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 92987
Office
Unavailable
Facility
$1263.91
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 92987
Office
Unavailable
Facility
$1173.51
No comparable office rate is available.
Puerto Rico
Puerto Rico · 92987
Office
Unavailable
Facility
$1205.38
No comparable office rate is available.
Rhode Island
Rhode Island · 92987
Office
Unavailable
Facility
$1209.25
No comparable office rate is available.
South Carolina
South Carolina · 92987
Office
Unavailable
Facility
$1158.29
No comparable office rate is available.
South Dakota**
South Dakota · 92987
Office
Unavailable
Facility
$1087.56
No comparable office rate is available.
Tennessee
Tennessee · 92987
Office
Unavailable
Facility
$1098.89
No comparable office rate is available.
Austin
Texas · 92987
Office
Unavailable
Facility
$1201.91
No comparable office rate is available.
Beaumont
Texas · 92987
Office
Unavailable
Facility
$1168.55
No comparable office rate is available.
Brazoria
Texas · 92987
Office
Unavailable
Facility
$1169.85
No comparable office rate is available.
Dallas
Texas · 92987
Office
Unavailable
Facility
$1185.75
No comparable office rate is available.
Fort Worth
Texas · 92987
Office
Unavailable
Facility
$1185.39
No comparable office rate is available.
Galveston
Texas · 92987
Office
Unavailable
Facility
$1178.88
No comparable office rate is available.
Houston
Texas · 92987
Office
Unavailable
Facility
$1275.89
No comparable office rate is available.
Rest Of Texas
Texas · 92987
Office
Unavailable
Facility
$1174.34
No comparable office rate is available.
Utah
Utah · 92987
Office
Unavailable
Facility
$1171.06
No comparable office rate is available.
Virginia
Virginia · 92987
Office
Unavailable
Facility
$1148.53
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 92987
Office
Unavailable
Facility
$1205.38
No comparable office rate is available.
Vermont
Vermont · 92987
Office
Unavailable
Facility
$1114.99
No comparable office rate is available.
Rest Of Washington
Washington · 92987
Office
Unavailable
Facility
$1186.82
No comparable office rate is available.
Seattle (King Cnty)
Washington · 92987
Office
Unavailable
Facility
$1271.29
No comparable office rate is available.
Wisconsin
Wisconsin · 92987
Office
Unavailable
Facility
$1071.41
No comparable office rate is available.
West Virginia
West Virginia · 92987
Office
Unavailable
Facility
$1246.49
No comparable office rate is available.
Wyoming**
Wyoming · 92987
Office
Unavailable
Facility
$1159.08
No comparable office rate is available.
See how rates vary across the country
92987 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 92987 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1277.65
$1161.50 × 110% = $1277.65
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 92987 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
11,929
- Code
- 92987
- Physician work
- 22.80
- Practice expense
- 7.98
- Malpractice
- 5.30
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.80 | × 1.017 | 23.1876 |
| Practice expense | 7.98 | × 1.096 | 8.7461 |
| Malpractice | 5.30 | × 0.536 | 2.8408 |
| Total RVUs | 34.7745 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$1161.50
Open 92987 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.8 | 1.017 |
| Practice expense | 7.98 | 1.096 |
| Malpractice | 5.3 | 0.536 |
(22.8 × 1.017 + 7.98 × 1.096 + 5.3 × 0.536) × $33.4009 = $1161.50
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
92987 · 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 | $1161.50 | RVU26D |
| 2026-07-01 | Not available in this setting | $1161.50 | RVU26C |
| 2026-04-01 | Not available in this setting | $1161.50 | RVU26B |
| 2026-01-01 | Not available in this setting | $1161.50 | RVU26A |
| 2025-10-01 | Not available in this setting | $1274.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $1274.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $1274.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $1274.54 | RVU25A |
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 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.
11,92692979,26,Endoluminl ivus oct c ea,A,,1.40,0.53,,0.53,,0.27,2.20,2.20,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92792979,TC,Endoluminl ivus oct c ea,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
11,92892986,,Revision of aortic valve,A,,22.04,7.76,NA,7.76,,5.17,34.97,34.97,0,090,0.09,0.84,0.07,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92992987,,Revision of mitral valve,A,,22.80,7.98,NA,7.98,,5.30,36.08,36.08,0,090,0.09,0.84,0.07,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,93092990,,Revision of pulmonary valve,A,,17.81,6.85,NA,6.85,,4.26,28.92,28.92,0,090,0.09,0.84,0.07,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,93192997,,Pul art balloon repr percut,A,,11.68,2.36,NA,2.36,,2.35,16.39,16.39,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,93292998,,Pul art balloon repr percut,A,,5.84,1.08,NA,1.08,,1.31,8.23,8.23,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536