Billing code 93592: Valve leak closureMedicare rate & RVUs in Illinois
Reports transcatheter closure of a paravalvular leak involving an additional valve during the same treatment session as a primary valve closure.
CMS doesn’t publish an office rate for 93592 in Illinois.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 93592 covers
Code 93592 captures treatment of a paravalvular leak at each additional valve after the initial valve is addressed. These procedures are typically performed by an interventional cardiologist or structural heart team in a cardiac catheterization laboratory, using catheter-based devices to close the leak around a prosthetic valve. The code represents an additional valve site, not another device or another leak at the valve already treated.
Report 93592 only with the applicable primary valve-closure procedure, such as 93590 for a mitral valve or 93591 for an aortic valve. The operative report should identify the valve sites treated and support that closure was performed at an additional valve. As an add-on code, 93592 is paid only with a primary procedure and within that procedure’s global period; it is not reported as a stand-alone service.
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.
Where 93592 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $352.42 |
| East St. Louis | Unavailable | $341.41 |
| Rest Of Illinois | Unavailable | $332.94 |
| Suburban Chicago | Unavailable | $344.05 |
How the 93592 rate is calculated
Each of 93592’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93592
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.80Practice expense 1.45Malpractice 0.54
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93592
The CMS indicators that decide how 93592 is paid alongside other services.
CMS payment indicators · 93592
Valve leak closure
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
93592 without 80 · national facility
$326.99
Valve leak closure
93592-80 · Assistant: 16%
$52.32
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
93592 compared with similar codes
Compare codes
93592 vs 93590 vs 93591 vs 93582: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93590Mitral leak closure
- 93590 reports the primary mitral paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.
- 93591Leak closure
- 93591 reports the primary aortic paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.
- 93582PDA closure
- 93582 describes transcatheter closure of a patent ductus arteriosus, not closure of a leak around a prosthetic valve.
93592 billing questions
When is 93592 reported instead of 93590 or 93591?
Use 93590 or 93591 for the primary mitral or aortic valve closure, respectively. Report 93592 for each additional valve treated during the procedure.
Can 93592 be billed by itself?
No. It is an add-on code and must be reported with an applicable primary valve-closure procedure.
What documentation supports an additional unit?
Document the valve site treated and the closure performed there. The record should distinguish each additional valve from the primary valve site.
Does the primary procedure's global period affect 93592?
Yes. CMS treats this add-on service as paid within the primary procedure's global period.
Does 93592 describe another leak at the same valve?
No. It identifies closure at each additional valve, rather than another leak or device at the valve already treated.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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