No office rate
Use 92987 for balloon dilation of the mitral valve; 92986 is the corresponding balloon procedure for the aortic valve.
On this page
CMS RVU26D · Effective 2026-10-01
92987 Mitral valvuloplasty Medicare reimbursement rates in Idaho
Reports catheter-based balloon dilation of a narrowed mitral valve, typically performed for mitral stenosis in a cardiac catheterization laboratory. Compare 92987 office and facility rates across CMS payment localities in Idaho.
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 92987 in Idaho?
Idaho 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
$1090.49
1 of 1 localities have a supported rate.
Payment area: Idaho
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 procedure
About 92987: Percutaneous mitral balloon valvuloplasty
Reports catheter-based balloon dilation of a narrowed mitral valve, typically performed for mitral stenosis in a cardiac catheterization laboratory.
An interventional cardiologist uses a catheter-delivered balloon to widen a narrowed mitral valve, typically to treat mitral stenosis. The catheter is advanced through vascular access, and the balloon is positioned across the valve and inflated to improve its opening. The procedure is generally performed in a cardiac catheterization laboratory rather than through open valve surgery.
Report 92987 for percutaneous balloon treatment of the mitral valve; balloon procedures on the aortic or pulmonary valve use different codes. The procedure report should identify the mitral stenosis, the percutaneous balloon approach, and the work and findings documented during treatment. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related 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 multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 92987
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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 RVU22.80 · 63%
- Practice expense (office) RVU7.98 · 22%
- Malpractice RVU5.30 · 15%
154
Medicare services in 2024 · #4543 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.
92987 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
Use 92987 for the mitral valve. Code 92990 is for balloon treatment of the pulmonary valve.
No office rate
92987 widens a narrowed mitral valve with a balloon. Code 33418 describes a transcatheter mitral valve repair approach, not balloon valvuloplasty.
No office rate
92987 is a percutaneous balloon procedure that treats mitral stenosis; 33430 describes mitral valve replacement through an open surgical approach.
Compare 92987 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
Idaho →
Office / nonfacility
Unavailable
Facility
$1090.49
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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 92987 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
11,929
- Code
- 92987
- Physician work
- 22.80
- Practice expense
- 7.98
- Malpractice
- 5.30
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.80 | × 1.000 | 22.8000 |
| Practice expense | 7.98 | × 0.920 | 7.3416 |
| Malpractice | 5.30 | × 0.473 | 2.5069 |
| Total RVUs | 32.6485 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$1090.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.8 | 1 |
| Practice expense | 7.98 | 0.92 |
| Malpractice | 5.3 | 0.473 |
(22.8 × 1 + 7.98 × 0.92 + 5.3 × 0.473) × $33.4009 = $1090.49
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.
92987 billing questions
How does 92987 differ from 92986 and 92990?
92987 is for balloon dilation of the mitral valve. The sibling codes 92986 and 92990 describe balloon procedures on the aortic and pulmonary valves, respectively.
Is modifier 50 appropriate for this procedure?
No. CMS identifies bilateral adjustment as inappropriate for 92987 because the descriptor and valve anatomy do not support bilateral reporting.
What documentation supports 92987?
The procedure report should support mitral stenosis, catheter-based balloon treatment of the mitral valve, and the procedural work and findings.
How does the 90-day global period affect related care?
The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
For multiple procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment 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.
11,92692979,26,Endoluminl ivus oct c ea,A,,1.40,0.53,,0.53,,0.27,2.20,2.20,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92792979,TC,Endoluminl ivus oct c ea,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772