No office rate
92920 describes coronary angioplasty without atherectomy. Choose 92924 when atherectomy is performed along with angioplasty in the treated artery or branch.
On this page
CMS RVU26D · Effective 2026-10-01
92924 Coronary atherectomy Medicare reimbursement rates in Illinois
Reports coronary plaque removal by atherectomy with balloon angioplasty in one major coronary artery or branch when no stent is placed. Compare 92924 office and facility rates across CMS payment localities in Illinois.
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 92924 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$507.32–$571.82
4 of 4 localities have a supported rate.
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.
Where 92924 pays more and less in Illinois
Interventional cardiology
About 92924: Coronary atherectomy with angioplasty
Reports coronary plaque removal by atherectomy with balloon angioplasty in one major coronary artery or branch when no stent is placed.
An interventional cardiologist typically performs this service in a cardiac catheterization laboratory, using a catheter-based atherectomy device to modify or remove coronary plaque and balloon angioplasty to treat the narrowed vessel. The code covers treatment of one major coronary artery or branch when atherectomy and angioplasty are performed without stent placement in that vessel.
Select the code from the procedure actually performed: the report should identify the treated artery or branch, atherectomy, balloon angioplasty, and whether a stent was placed. Angioplasty in the treated vessel is included, so it is not separately reported for that same work. The code has a 0-day global period, which includes same-day preoperative and postoperative care. When other separately payable procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate for this coronary-vessel service. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 92924
- 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 RVU9.88 · 70%
- Practice expense (office) RVU1.86 · 13%
- Malpractice RVU2.31 · 16%
1.5K
Medicare services in 2024 · #2661 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.
92924 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
92928 is for stent placement with angioplasty when performed, without atherectomy. When atherectomy and a stent are both performed in the artery, compare with 92933.
No office rate
92933 covers coronary atherectomy with stent placement and angioplasty when performed. Use 92924 when atherectomy and angioplasty are performed without a stent in that artery.
Compare 92924 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$571.82
East St. Louis →
Office / nonfacility
Unavailable
Facility
$542.55
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$507.32
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$532.83
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92924 billing questions
When should I choose 92924 instead of 92920?
Use 92924 when coronary atherectomy and balloon angioplasty are performed in the treated artery or branch. Code 92920 describes coronary balloon angioplasty without atherectomy.
Can I report 92920 separately for the balloon angioplasty?
No. The angioplasty performed in the artery treated with atherectomy is included in 92924.
What if a stent is placed in the atherectomy-treated artery?
Use 92933 for atherectomy with stent placement and angioplasty when performed. Do not report 92924 for that same treated artery.
How do I report atherectomy in another branch?
Code 92925 is the add-on for each additional qualifying branch treated with atherectomy and angioplasty. Document the additional treated branch in the procedure report.
Can modifier 50 be used for treatment of both sides?
No. Modifier 50 is not appropriate for this coronary-vessel service; use the applicable coding for each treated artery or branch.
What documentation supports reporting 92924?
The operative report should identify the target coronary artery or branch and describe both atherectomy and balloon angioplasty. It should also state whether a stent was placed, since that changes the code selection.
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.
11,90292653,,Aep neurodiagnostic i&r,A,,1.02,1.33,,1.33,NA,0.05,2.40,2.40,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,90392700,,Unlisted orl service/px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90492920,,Prq trluml c angiop 1art&/br,A,,8.14,1.54,NA,1.54,,1.91,11.59,11.59,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90592924,,Prq trluml c athrc 1 art&/br,A,,9.88,1.86,NA,1.86,,2.31,14.05,14.05,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90692928,,Prq tcat plmt ntrac st 1 les,A,,9.75,1.84,NA,1.84,,2.30,13.89,13.89,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90792930,,Prq tcat plmt ntrac st 2+les,A,,12.00,2.27,NA,2.27,,0.86,15.13,15.13,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90892933,,Prq trlml c athrc st angiop1,A,,11.64,2.20,NA,2.20,,2.73,16.57,16.57,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00