No office rate
92997 represents treatment of the initial pulmonary artery; 92998 represents each additional pulmonary artery treated.
On this page
CMS RVU26D · Effective 2026-10-01
92998 Pulmonary angioplasty Medicare reimbursement rates in Colorado
Reports balloon angioplasty of each additional pulmonary artery treated after the first during a percutaneous pulmonary artery intervention. Compare 92998 office and facility rates across CMS payment localities in Colorado.
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 92998 in Colorado?
Colorado 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
$269.96
1 of 1 localities have a supported rate.
Payment area: Colorado
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.
Interventional cardiology
About 92998: Additional pulmonary artery balloon angioplasty
Reports balloon angioplasty of each additional pulmonary artery treated after the first during a percutaneous pulmonary artery intervention.
This add-on reports balloon dilation of an additional pulmonary artery during a catheter-based intervention. It is used when a specialist, commonly an interventional cardiologist or congenital heart specialist, treats stenosis in more than one pulmonary artery, such as branch pulmonary arteries, in a catheterization lab. The balloon is advanced through the catheter and expanded at the narrowed arterial segment to improve its opening.
Report 92998 for each additional pulmonary artery treated after the first; the initial artery is represented by the primary angioplasty code 92997. The procedure report should identify the arteries treated and document the balloon intervention at each additional artery. CMS classifies 92998 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 92998
- 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 RVU5.84 · 71%
- Practice expense (office) RVU1.08 · 13%
- Malpractice RVU1.31 · 16%
1.3K
Medicare services in 2024 · #2787 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.
92998 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
92990 concerns balloon treatment of the pulmonary valve. Use 92998 for an additional pulmonary artery, not a valve.
No office rate
92920 describes coronary artery balloon angioplasty. 92998 is specific to an additional pulmonary artery treated.
Compare 92998 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
Colorado →
Office / nonfacility
Unavailable
Facility
$269.96
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 92998 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
11,932
- Code
- 92998
- Physician work
- 5.84
- Practice expense
- 1.08
- Malpractice
- 1.31
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.84 | × 1.012 | 5.9101 |
| Practice expense | 1.08 | × 1.064 | 1.1491 |
| Malpractice | 1.31 | × 0.781 | 1.0231 |
| Total RVUs | 8.0823 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$269.96
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.84 | 1.012 |
| Practice expense | 1.08 | 1.064 |
| Malpractice | 1.31 | 0.781 |
(5.84 × 1.012 + 1.08 × 1.064 + 1.31 × 0.781) × $33.4009 = $269.96
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.
92998 billing questions
When is 92998 reported instead of 92997?
Use 92997 for the initial pulmonary artery treated. Report 92998 for each additional pulmonary artery treated in the same intervention.
Can 92998 be billed by itself?
No. It is an add-on code and must be billed with a primary procedure, such as 92997.
What documentation supports an additional unit?
The procedure report should identify each pulmonary artery treated and document balloon angioplasty of the additional artery.
Does 92998 describe pulmonary valve dilation?
No. It describes angioplasty of an additional pulmonary artery. Pulmonary valve treatment is a different target and procedure.
How does CMS handle payment for this add-on?
CMS pays 92998 within the global period of the primary procedure with which it is billed.
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.
11,92992987,,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
11,93393000,,Electrocardiogram complete,A,,0.17,0.27,,0.27,NA,0.02,0.46,0.46,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,93493005,,Electrocardiogram tracing,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,93593010,,Electrocardiogram report,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899