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 Cardiac assist Medicare reimbursement rates in Arkansas
Reports external counterpulsation therapy using synchronized pressure cuffs to support circulation, commonly for patients with persistent angina symptoms. Compare 92971 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 92971 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$78.61
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Arkansas, from the same CMS release.
No office rate
92953 is for temporary external pacing to manage a rhythm problem; 92971 provides external circulatory assistance.
$140.30
92960 reports external electrical cardioversion for an arrhythmia, not synchronized cuff-based circulatory support.
Compare 92971 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$78.61
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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 Arkansas.
PPRRVU2026_Oct_nonQPP.csv
11,918
- Code
- 92971
- Physician work
- 1.73
- Practice expense
- 0.48
- Malpractice
- 0.41
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.73 | × 1.000 | 1.7300 |
| Practice expense | 0.48 | × 0.859 | 0.4123 |
| Malpractice | 0.41 | × 0.515 | 0.2112 |
| Total RVUs | 2.3535 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$78.61
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.73 | 1 |
| Practice expense | 0.48 | 0.859 |
| Malpractice | 0.41 | 0.515 |
(1.73 × 1 + 0.48 × 0.859 + 0.41 × 0.515) × $33.4009 = $78.61
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.
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
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541