No office rate
92941 identifies coronary revascularization for an acute myocardial infarction. Report 92973 as well only when mechanical thrombectomy is performed during that intervention.
On this page
CMS RVU26D · Effective 2026-10-01
92973 Coronary thrombectomy Medicare reimbursement rates in Iowa
Report mechanical removal of thrombus from a coronary artery during catheter-based revascularization, alongside the qualifying primary coronary intervention. Compare 92973 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 92973 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
$72.51
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 92973: Percutaneous coronary mechanical thrombectomy
Report mechanical removal of thrombus from a coronary artery during catheter-based revascularization, alongside the qualifying primary coronary intervention.
This add-on describes mechanical removal or aspiration of thrombus from a coronary artery during a catheter-based intervention. An interventional cardiologist typically performs it in a cardiac catheterization laboratory when coronary thrombus requires mechanical treatment, such as during revascularization for an acute coronary event. The work may involve an aspiration catheter, and associated intraprocedural pharmacologic thrombolytic injections are included in the service.
Report 92973 only with a qualifying primary coronary intervention, such as angioplasty, stenting, or another coronary revascularization procedure. The operative report should identify the treated coronary artery and document that mechanical thrombectomy was performed; ballooning or stenting alone does not support this add-on. CMS treats it as an add-on and pays it within the primary procedure’s global period, so it is not reported as a stand-alone service.
CMS billing rules for 92973
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.71 · 70%
- Practice expense (office) RVU0.33 · 14%
- Malpractice RVU0.40 · 16%
2.6K
Medicare services in 2024 · #2275 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.
92973 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
92972 describes coronary intravascular lithotripsy for calcified plaque; 92973 describes mechanical removal or aspiration of coronary thrombus.
No office rate
92928 reports coronary stent placement. It does not describe mechanical thrombectomy, which may be reported as an add-on when performed.
Compare 92973 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
$72.51
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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 92973 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
11,920
- Code
- 92973
- Physician work
- 1.71
- Practice expense
- 0.33
- Malpractice
- 0.40
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.000 | 1.7100 |
| Practice expense | 0.33 | × 0.915 | 0.3020 |
| Malpractice | 0.40 | × 0.397 | 0.1588 |
| Total RVUs | 2.1707 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$72.51
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.71 | 1 |
| Practice expense | 0.33 | 0.915 |
| Malpractice | 0.4 | 0.397 |
(1.71 × 1 + 0.33 × 0.915 + 0.4 × 0.397) × $33.4009 = $72.51
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.
92973 billing questions
Can 92973 be reported by itself?
No. It is an add-on for mechanical coronary thrombectomy and must be reported with a qualifying primary coronary intervention.
Is 92973 appropriate when a stent is placed in a thrombotic lesion?
Only when mechanical thrombectomy is also performed. Stenting a lesion that contains thrombus, without mechanical removal or aspiration, does not by itself support 92973.
Are thrombolytic injections included?
Intraprocedural pharmacologic thrombolytic injections associated with the mechanical thrombectomy are included in this service.
What documentation supports 92973?
Document the coronary target and the mechanical thrombectomy performed, such as aspiration or other mechanical thrombus removal. The primary coronary intervention must also be documented.
How does CMS handle payment for this add-on?
CMS pays 92973 within the primary procedure’s global period. It is not payable as a stand-alone procedure.
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.
11,91792970,,Cardioassist internal,A,,3.42,0.64,NA,0.64,,0.82,4.88,4.88,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91892971,,Cardioassist external,A,,1.73,0.48,NA,0.48,,0.41,2.62,2.62,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91992972,,Perq trluml coronry lithotrp,A,,2.90,0.55,NA,0.55,,0.21,3.66,3.66,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92092973,,Prq trluml c mchn asp thrmbc,A,,1.71,0.33,NA,0.33,,0.40,2.44,2.44,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92192974,,Cath place cardio brachytx,A,,2.93,0.55,NA,0.55,,0.67,4.15,4.15,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92292978,,Endoluminl ivus oct c 1st,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,,33.4009,09,0,99,0.00,0.00,0.00
11,92392978,26,Endoluminl ivus oct c 1st,A,,1.76,0.66,,0.66,,0.36,2.78,2.78,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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