No office rate
93590 reports the primary mitral paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.
On this page
CMS RVU26D · Effective 2026-10-01
93592 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$327.70
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.
Structural heart
About 93592: Additional paravalvular leak closure
Reports transcatheter closure of a paravalvular leak involving an additional valve during the same treatment session as a primary valve closure.
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.
CMS billing rules for 93592
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU7.80 · 80%
- Practice expense (office) RVU1.45 · 15%
- Malpractice RVU0.54 · 6%
88
Medicare services in 2024 · #4978 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.
93592 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
93591 reports the primary aortic paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.
No office rate
93582 describes transcatheter closure of a patent ductus arteriosus, not closure of a leak around a prosthetic valve.
The same code, a different location
How does Redding compare?
93592 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 93592
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Merced
California · 93592
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Modesto
California · 93592
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Napa
California · 93592
Office
Unavailable
Facility
$349.94
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 93592
Office
Unavailable
Facility
$336.30
No comparable office rate is available.
Rest Of California
California · 93592
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 93592
Office
Unavailable
Facility
$333.68
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 93592
Office
Unavailable
Facility
$335.90
No comparable office rate is available.
Salinas
California · 93592
Office
Unavailable
Facility
$334.40
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 93592
Office
Unavailable
Facility
$336.04
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 93592
Office
Unavailable
Facility
$361.84
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 93592
Office
Unavailable
Facility
$361.23
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 93592
Office
Unavailable
Facility
$368.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 93592
Office
Unavailable
Facility
$366.18
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 93592
Office
Unavailable
Facility
$329.79
No comparable office rate is available.
Santa Cruz-Watsonville
California · 93592
Office
Unavailable
Facility
$334.51
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 93592
Office
Unavailable
Facility
$333.96
No comparable office rate is available.
Santa Rosa-Petaluma
California · 93592
Office
Unavailable
Facility
$337.48
No comparable office rate is available.
Stockton
California · 93592
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Vallejo
California · 93592
Office
Unavailable
Facility
$349.05
No comparable office rate is available.
Visalia
California · 93592
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Yuba City
California · 93592
Office
Unavailable
Facility
$327.70
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 93592
Office
Unavailable
Facility
$351.72
No comparable office rate is available.
Miami
Florida · 93592
Office
Unavailable
Facility
$356.56
No comparable office rate is available.
Chicago
Illinois · 93592
Office
Unavailable
Facility
$352.42
No comparable office rate is available.
Manhattan
New York · 93592
Office
Unavailable
Facility
$362.08
No comparable office rate is available.
Alaska*
Alaska · 93592
Office
Unavailable
Facility
$452.31
No comparable office rate is available.
Alabama
Alabama · 93592
Office
Unavailable
Facility
$313.11
No comparable office rate is available.
Arkansas
Arkansas · 93592
Office
Unavailable
Facility
$311.42
No comparable office rate is available.
Arizona
Arizona · 93592
Office
Unavailable
Facility
$322.90
No comparable office rate is available.
Colorado
Colorado · 93592
Office
Unavailable
Facility
$329.27
No comparable office rate is available.
Connecticut
Connecticut · 93592
Office
Unavailable
Facility
$339.72
No comparable office rate is available.
Delaware
Delaware · 93592
Office
Unavailable
Facility
$325.89
No comparable office rate is available.
Fort Lauderdale
Florida · 93592
Office
Unavailable
Facility
$342.20
No comparable office rate is available.
Rest Of Florida
Florida · 93592
Office
Unavailable
Facility
$333.94
No comparable office rate is available.
Atlanta
Georgia · 93592
Office
Unavailable
Facility
$332.18
No comparable office rate is available.
Rest Of Georgia
Georgia · 93592
Office
Unavailable
Facility
$325.23
No comparable office rate is available.
Hawaii, Guam
Hawaii · 93592
Office
Unavailable
Facility
$326.04
No comparable office rate is available.
Iowa
Iowa · 93592
Office
Unavailable
Facility
$312.00
No comparable office rate is available.
Idaho
Idaho · 93592
Office
Unavailable
Facility
$313.62
No comparable office rate is available.
East St. Louis
Illinois · 93592
Office
Unavailable
Facility
$341.41
No comparable office rate is available.
Rest Of Illinois
Illinois · 93592
Office
Unavailable
Facility
$332.94
No comparable office rate is available.
Suburban Chicago
Illinois · 93592
Office
Unavailable
Facility
$344.05
No comparable office rate is available.
Indiana
Indiana · 93592
Office
Unavailable
Facility
$314.19
No comparable office rate is available.
Kansas
Kansas · 93592
Office
Unavailable
Facility
$313.40
No comparable office rate is available.
Kentucky
Kentucky · 93592
Office
Unavailable
Facility
$320.09
No comparable office rate is available.
New Orleans
Louisiana · 93592
Office
Unavailable
Facility
$326.59
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 93592
Office
Unavailable
Facility
$320.67
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 93592
Office
Unavailable
Facility
$345.09
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 93592
Office
Unavailable
Facility
$330.07
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 93592
Office
Unavailable
Facility
$338.97
No comparable office rate is available.
Rest Of Maryland
Maryland · 93592
Office
Unavailable
Facility
$328.70
No comparable office rate is available.
Rest Of Maine
Maine · 93592
Office
Unavailable
Facility
$316.30
No comparable office rate is available.
Southern Maine
Maine · 93592
Office
Unavailable
Facility
$319.90
No comparable office rate is available.
Detroit
Michigan · 93592
Office
Unavailable
Facility
$337.67
No comparable office rate is available.
Rest Of Michigan
Michigan · 93592
Office
Unavailable
Facility
$325.11
No comparable office rate is available.
Minnesota
Minnesota · 93592
Office
Unavailable
Facility
$315.70
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 93592
Office
Unavailable
Facility
$323.63
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 93592
Office
Unavailable
Facility
$324.71
No comparable office rate is available.
Rest Of Missouri
Missouri · 93592
Office
Unavailable
Facility
$319.84
No comparable office rate is available.
Mississippi
Mississippi · 93592
Office
Unavailable
Facility
$315.56
No comparable office rate is available.
Montana**
Montana · 93592
Office
Unavailable
Facility
$326.96
No comparable office rate is available.
North Carolina
North Carolina · 93592
Office
Unavailable
Facility
$317.24
No comparable office rate is available.
North Dakota**
North Dakota · 93592
Office
Unavailable
Facility
$316.28
No comparable office rate is available.
Nebraska
Nebraska · 93592
Office
Unavailable
Facility
$312.05
No comparable office rate is available.
New Hampshire
New Hampshire · 93592
Office
Unavailable
Facility
$326.73
No comparable office rate is available.
Northern Nj
New Jersey · 93592
Office
Unavailable
Facility
$352.38
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 93592
Office
Unavailable
Facility
$343.62
No comparable office rate is available.
New Mexico
New Mexico · 93592
Office
Unavailable
Facility
$326.60
No comparable office rate is available.
Nevada**
Nevada · 93592
Office
Unavailable
Facility
$324.03
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 93592
Office
Unavailable
Facility
$368.28
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 93592
Office
Unavailable
Facility
$347.11
No comparable office rate is available.
Queens
New York · 93592
Office
Unavailable
Facility
$360.46
No comparable office rate is available.
Rest Of New York
New York · 93592
Office
Unavailable
Facility
$319.22
No comparable office rate is available.
Ohio
Ohio · 93592
Office
Unavailable
Facility
$322.93
No comparable office rate is available.
Oklahoma
Oklahoma · 93592
Office
Unavailable
Facility
$317.79
No comparable office rate is available.
Portland
Oregon · 93592
Office
Unavailable
Facility
$331.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 93592
Office
Unavailable
Facility
$321.44
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 93592
Office
Unavailable
Facility
$337.15
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 93592
Office
Unavailable
Facility
$322.03
No comparable office rate is available.
Puerto Rico
Puerto Rico · 93592
Office
Unavailable
Facility
$327.26
No comparable office rate is available.
Rhode Island
Rhode Island · 93592
Office
Unavailable
Facility
$331.60
No comparable office rate is available.
South Carolina
South Carolina · 93592
Office
Unavailable
Facility
$320.61
No comparable office rate is available.
South Dakota**
South Dakota · 93592
Office
Unavailable
Facility
$315.02
No comparable office rate is available.
Tennessee
Tennessee · 93592
Office
Unavailable
Facility
$314.24
No comparable office rate is available.
Austin
Texas · 93592
Office
Unavailable
Facility
$328.27
No comparable office rate is available.
Beaumont
Texas · 93592
Office
Unavailable
Facility
$321.36
No comparable office rate is available.
Brazoria
Texas · 93592
Office
Unavailable
Facility
$324.68
No comparable office rate is available.
Dallas
Texas · 93592
Office
Unavailable
Facility
$326.58
No comparable office rate is available.
Fort Worth
Texas · 93592
Office
Unavailable
Facility
$326.33
No comparable office rate is available.
Galveston
Texas · 93592
Office
Unavailable
Facility
$325.64
No comparable office rate is available.
Houston
Texas · 93592
Office
Unavailable
Facility
$335.52
No comparable office rate is available.
Rest Of Texas
Texas · 93592
Office
Unavailable
Facility
$322.78
No comparable office rate is available.
Utah
Utah · 93592
Office
Unavailable
Facility
$322.25
No comparable office rate is available.
Virginia
Virginia · 93592
Office
Unavailable
Facility
$320.87
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 93592
Office
Unavailable
Facility
$327.26
No comparable office rate is available.
Vermont
Vermont · 93592
Office
Unavailable
Facility
$317.60
No comparable office rate is available.
Rest Of Washington
Washington · 93592
Office
Unavailable
Facility
$328.64
No comparable office rate is available.
Seattle (King Cnty)
Washington · 93592
Office
Unavailable
Facility
$347.71
No comparable office rate is available.
Wisconsin
Wisconsin · 93592
Office
Unavailable
Facility
$312.48
No comparable office rate is available.
West Virginia
West Virginia · 93592
Office
Unavailable
Facility
$328.42
No comparable office rate is available.
Wyoming**
Wyoming · 93592
Office
Unavailable
Facility
$322.31
No comparable office rate is available.
See how rates vary across the country
93592 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 93592 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$360.47
$327.70 × 110% = $360.47
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 93592 in Redding.
PPRRVU2026_Oct_nonQPP.csv
12,160
- Code
- 93592
- Physician work
- 7.80
- Practice expense
- 1.45
- Malpractice
- 0.54
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.80 | × 1.017 | 7.9326 |
| Practice expense | 1.45 | × 1.096 | 1.5892 |
| Malpractice | 0.54 | × 0.536 | 0.2894 |
| Total RVUs | 9.8112 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$327.70
Open 93592 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.8 | 1.017 |
| Practice expense | 1.45 | 1.096 |
| Malpractice | 0.54 | 0.536 |
(7.8 × 1.017 + 1.45 × 1.096 + 0.54 × 0.536) × $33.4009 = $327.70
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
93592 · 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 | $327.70 | RVU26D |
| 2026-07-01 | Not available in this setting | $327.70 | RVU26C |
| 2026-04-01 | Not available in this setting | $327.70 | RVU26B |
| 2026-01-01 | Not available in this setting | $327.70 | RVU26A |
| 2025-10-01 | Not available in this setting | $369.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $369.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $369.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $369.76 | RVU25A |
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 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.
12,15793588,,Vngrph chd vnvn cltrl below,A,,2.08,0.38,NA,0.38,,0.15,2.61,2.61,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15893590,,Perq transcath cls mitral,A,,21.16,4.40,NA,4.40,,1.76,27.32,27.32,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15993591,,Perq transcath cls aortic,A,,17.52,3.63,NA,3.63,,1.36,22.51,22.51,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
12,16093592,,Perq transcath closure each,A,,7.80,1.45,NA,1.45,,0.54,9.79,9.79,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,16193593,,R hrt cath chd nml nt cnj,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,16293593,26,R hrt cath chd nml nt cnj,A,,3.89,1.53,,1.53,,0.15,5.57,5.57,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,16393593,TC,R hrt cath chd nml nt cnj,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536