No office rate
93590 reports the primary mitral paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.
On this page
CMS RVU26D · Effective 2026-10-01
93592 Valve leak closure Medicare reimbursement rates in Iowa
Reports transcatheter closure of a paravalvular leak involving an additional valve during the same treatment session as a primary valve closure. Compare 93592 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 93592 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
$312.00
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.
Structural heart
About 93592: Additional paravalvular leak closure
Reports transcatheter closure of a paravalvular leak involving an additional valve during the same treatment session as a primary valve closure.
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.
CMS billing rules for 93592
- 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 RVU7.80 · 80%
- Practice expense (office) RVU1.45 · 15%
- Malpractice RVU0.54 · 6%
88
Medicare services in 2024 · #4978 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.
93592 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
93591 reports the primary aortic paravalvular leak closure. Use 93592 for each additional valve treated in the same procedure.
No office rate
93582 describes transcatheter closure of a patent ductus arteriosus, not closure of a leak around a prosthetic valve.
Compare 93592 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
$312.00
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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 93592 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
12,160
- Code
- 93592
- Physician work
- 7.80
- Practice expense
- 1.45
- Malpractice
- 0.54
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.80 | × 1.000 | 7.8000 |
| Practice expense | 1.45 | × 0.915 | 1.3268 |
| Malpractice | 0.54 | × 0.397 | 0.2144 |
| Total RVUs | 9.3411 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$312.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.8 | 1 |
| Practice expense | 1.45 | 0.915 |
| Malpractice | 0.54 | 0.397 |
(7.8 × 1 + 1.45 × 0.915 + 0.54 × 0.397) × $33.4009 = $312.00
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.
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 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.
12,15793588,,Vngrph chd vnvn cltrl below,A,,2.08,0.38,NA,0.38,,0.15,2.61,2.61,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15893590,,Perq transcath cls mitral,A,,21.16,4.40,NA,4.40,,1.76,27.32,27.32,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,15993591,,Perq transcath cls aortic,A,,17.52,3.63,NA,3.63,,1.36,22.51,22.51,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
12,16093592,,Perq transcath closure each,A,,7.80,1.45,NA,1.45,,0.54,9.79,9.79,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,16193593,,R hrt cath chd nml nt cnj,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,16293593,26,R hrt cath chd nml nt cnj,A,,3.89,1.53,,1.53,,0.15,5.57,5.57,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,16393593,TC,R hrt cath chd nml nt cnj,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
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