No office rate
92997 covers the first pulmonary artery vessel treated; 92998 is reported for each additional vessel.
On this page
CMS RVU26D · Effective 2026-10-01
92997 Pulmonary angioplasty Medicare reimbursement rates in Guam
Percutaneous balloon angioplasty opens a narrowed pulmonary artery vessel, typically during catheter-based treatment of congenital or acquired pulmonary artery stenosis. Compare 92997 office and facility rates across CMS payment localities in Guam.
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 92997 in Guam?
Guam 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
$525.19
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Cardiovascular procedures
About 92997: Pulmonary artery balloon angioplasty, single vessel
Percutaneous balloon angioplasty opens a narrowed pulmonary artery vessel, typically during catheter-based treatment of congenital or acquired pulmonary artery stenosis.
This code represents catheter-based balloon dilation of one pulmonary artery vessel to improve blood flow through a narrowed segment. Interventional cardiologists, including specialists in congenital heart disease, typically perform it in a hospital catheterization laboratory. The target is a pulmonary artery, not the pulmonary valve or a coronary artery. The service may be part of a catheter-based intervention for pulmonary artery stenosis, including stenosis associated with congenital heart disease.
Report one unit for the treated vessel; the operative report should identify the pulmonary artery treated and document the balloon dilation. For each additional pulmonary artery vessel treated, report add-on code 92998 with this primary service. Modifier 50 is inappropriate; code the vessels treated rather than treating the service as bilateral. The 0-day global period includes same-day preoperative and 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 50% reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 92997
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU11.68 · 71%
- Practice expense (office) RVU2.36 · 14%
- Malpractice RVU2.35 · 14%
406
Medicare services in 2024 · #3728 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.
92997 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
92990 treats stenosis at the pulmonary valve. Use 92997 when the balloon dilation targets a pulmonary artery vessel.
No office rate
92920 describes coronary artery balloon angioplasty. This code is for balloon dilation of a pulmonary artery vessel.
Compare 92997 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$525.19
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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 92997 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
11,931
- Code
- 92997
- Physician work
- 11.68
- Practice expense
- 2.36
- Malpractice
- 2.35
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.68 | × 1.000 | 11.6800 |
| Practice expense | 2.36 | × 1.137 | 2.6833 |
| Malpractice | 2.35 | × 0.579 | 1.3606 |
| Total RVUs | 15.7240 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$525.19
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.68 | 1 |
| Practice expense | 2.36 | 1.137 |
| Malpractice | 2.35 | 0.579 |
(11.68 × 1 + 2.36 × 1.137 + 2.35 × 0.579) × $33.4009 = $525.19
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.
92997 billing questions
When should 92997 be reported instead of 92998?
Report 92997 for balloon angioplasty of one pulmonary artery vessel. Report 92998 for each additional vessel treated in the same session, with 92997 as the primary service.
Is the code based on the number of lesions or vessels?
The distinction is the number of pulmonary artery vessels treated. Document the vessel or vessels and the balloon dilation performed.
Can modifier 50 be used when both sides are treated?
No. Modifier 50 is inappropriate for this code; report the applicable vessel services, including 92998 for each additional vessel.
What care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed 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.
11,92892986,,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
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014