No office rate
92970 is for percutaneous internal circulatory assistance, such as intra-aortic balloon pumping; 92971 is for external assistance.
On this page
CMS RVU26D · Effective 2026-10-01
92970 Cardioassist Medicare reimbursement rates in Connecticut
Report percutaneous internal circulatory assistance, such as intra-aortic balloon pumping, for the initial setup and monitoring of mechanical cardiac support. Compare 92970 office and facility rates across CMS payment localities in Connecticut.
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 92970 in Connecticut?
Connecticut 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
$172.68
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 92970: Percutaneous internal circulatory assistance
Report percutaneous internal circulatory assistance, such as intra-aortic balloon pumping, for the initial setup and monitoring of mechanical cardiac support.
CPT 92970 describes percutaneous internal circulatory assistance, including initial setup and monitoring of support such as intra-aortic balloon pumping. Cardiologists and other physicians managing mechanical cardiac support may provide this service in a catheterization laboratory or hospital setting when a patient needs circulatory support. The focus is the assistance service, not simply the placement or removal of the balloon-pump device.
Report the service when the documented work supports internal percutaneous assistance and its setup and monitoring; distinguish it from external counterpulsation reported with 92971. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Do not append modifier 50: this is not a right-and-left service. An assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 92970
- 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 RVU3.42 · 70%
- Practice expense (office) RVU0.64 · 13%
- Malpractice RVU0.82 · 17%
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.
92970 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
33967 represents percutaneous insertion of an intra-aortic balloon assist device. 92970 represents the circulatory-assistance service, including setup and monitoring.
No office rate
92953 describes temporary external pacing to support heart rate. 92970 describes mechanical circulatory assistance, not electrical pacing.
Compare 92970 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$172.68
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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 92970 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
11,917
- Code
- 92970
- Physician work
- 3.42
- Practice expense
- 0.64
- Malpractice
- 0.82
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.42 | × 1.020 | 3.4884 |
| Practice expense | 0.64 | × 1.077 | 0.6893 |
| Malpractice | 0.82 | × 1.210 | 0.9922 |
| Total RVUs | 5.1699 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$172.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.42 | 1.02 |
| Practice expense | 0.64 | 1.077 |
| Malpractice | 0.82 | 1.21 |
(3.42 × 1.02 + 0.64 × 1.077 + 0.82 × 1.21) × $33.4009 = $172.68
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.
92970 billing questions
How do I choose between 92970 and 92971?
Use 92970 for percutaneous internal circulatory assistance, such as intra-aortic balloon pumping. Use 92971 for external circulatory assistance.
Does 92970 describe balloon-pump insertion?
92970 describes the circulatory-assistance service, including initial setup and monitoring. CPT 33967 describes percutaneous insertion of an intra-aortic balloon assist device.
Should modifier 50 be appended?
No. The service is not reported as bilateral work, so modifier 50 is inappropriate.
What documentation supports an assistant-at-surgery payment?
Document the medical necessity for the assistant's participation. Assistant-at-surgery payment is conditional on that documentation.
Are co-surgeons or team surgery reportable?
No. CMS lists co-surgeons and team surgery as not permitted for this code.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
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.
11,91492953,,Temporary external pacing,A,,0.01,0.01,NA,0.01,,0.01,0.03,0.03,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91592960,,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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808