No office rate
Choose 92928 when a coronary stent is placed; angioplasty performed with that stent service is included. Use 92920 for balloon treatment without stent placement in the vessel.
On this page
CMS RVU26D · Effective 2026-10-01
92920 Coronary angioplasty Medicare reimbursement rates in Iowa
Reports catheter-based balloon treatment of a narrowing in one major coronary artery or branch when the treated vessel is not stented or atherectomized. Compare 92920 office and facility rates across CMS payment localities in Iowa.
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 92920 in Iowa?
Iowa 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
$344.28
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Interventional cardiology
About 92920: Single-vessel coronary balloon angioplasty
Reports catheter-based balloon treatment of a narrowing in one major coronary artery or branch when the treated vessel is not stented or atherectomized.
An interventional cardiologist advances a catheter-mounted balloon through the vascular system to widen a narrowed coronary artery or branch. The service is typically performed in a hospital cardiac catheterization laboratory for coronary artery disease. This code describes balloon angioplasty without stent placement or atherectomy in the treated vessel; balloon dilation used as part of a stent or atherectomy service is included in that service when performed.
Report one unit for treatment of one major artery or branch, supported by the procedure report identifying the treated vessel and intervention. For each additional qualifying branch, 92921 is the add-on code. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. 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. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 92920
- 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 RVU8.14 · 70%
- Practice expense (office) RVU1.54 · 13%
- Malpractice RVU1.91 · 16%
18.6K
Medicare services in 2024 · #1175 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.
92920 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
92924 describes atherectomy, with angioplasty when performed. Use 92920 when the coronary narrowing is treated by balloon angioplasty without atherectomy.
No office rate
92930 describes stent placement for two or more lesions in one artery or branch. Code 92920 is for balloon angioplasty without stent placement.
Compare 92920 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
Iowa →
Office / nonfacility
Unavailable
Facility
$344.28
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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 92920 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
11,904
- Code
- 92920
- Physician work
- 8.14
- Practice expense
- 1.54
- Malpractice
- 1.91
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.14 | × 1.000 | 8.1400 |
| Practice expense | 1.54 | × 0.915 | 1.4091 |
| Malpractice | 1.91 | × 0.397 | 0.7583 |
| Total RVUs | 10.3074 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$344.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.14 | 1 |
| Practice expense | 1.54 | 0.915 |
| Malpractice | 1.91 | 0.397 |
(8.14 × 1 + 1.54 × 0.915 + 1.91 × 0.397) × $33.4009 = $344.28
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.
92920 billing questions
When should 92920 be reported instead of 92928?
Use 92920 for balloon angioplasty without stent placement in the treated vessel. Code 92928 describes stent placement, including angioplasty performed as part of that service.
Can 92920 be reported for balloon dilation before or after a stent in the same vessel?
No. Balloon angioplasty performed as part of stent placement in that vessel is included in the stent service.
How is angioplasty in an additional coronary branch reported?
Report 92920 for the first treated artery or branch and 92921 for each qualifying additional branch. The documentation should identify the vessels treated.
Should modifier 50 be appended for angioplasty on both sides of the heart?
No. The descriptor and coronary anatomy make bilateral adjustment inappropriate for 92920.
What documentation supports an assistant-at-surgery claim?
The record must document the medical necessity of the assistant's participation. CMS payment for an assistant is limited to cases with that documentation.
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.
11,90192652,,Aep thrshld est mlt freq i&r,A,,1.46,1.70,,1.70,NA,0.07,3.23,3.23,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,90292653,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136