No office rate
92920 represents coronary balloon angioplasty. Use 92972 as an add-on when intravascular lithotripsy is also performed to modify calcified plaque.
On this page
CMS RVU26D · Effective 2026-10-01
92972 Coronary lithotripsy Medicare reimbursement rates in Maine
Reported alongside a coronary intervention when balloon-based intravascular lithotripsy is used to modify calcified plaque in a coronary vessel. Compare 92972 office and facility rates across CMS payment localities in Maine.
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 92972 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$118.13–$119.49
2 of 2 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.
Coronary intervention
About 92972: Coronary intravascular lithotripsy treatment
Reported alongside a coronary intervention when balloon-based intravascular lithotripsy is used to modify calcified plaque in a coronary vessel.
An interventional cardiologist uses a specialized balloon catheter to deliver pressure waves that modify calcified plaque within a coronary artery. The treatment is performed during catheter-based coronary intervention, commonly before balloon dilation or stent placement when calcification makes a lesion difficult to expand. It is distinct from atherectomy, which removes or cuts plaque rather than using pressure waves to modify calcium.
Report 92972 as an add-on with a primary coronary procedure, not as a stand-alone service. The record should identify the treated coronary vessel, the calcified lesion, and the use of intravascular lithotripsy during the intervention. Select the primary code for the other coronary work performed, such as angioplasty, stent placement, or atherectomy with stenting. CMS places payment for this add-on within the primary procedure's global period.
CMS billing rules for 92972
- 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 RVU2.90 · 79%
- Practice expense (office) RVU0.55 · 15%
- Malpractice RVU0.21 · 6%
23.1K
Medicare services in 2024 · #1086 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.
92972 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
92924 represents coronary atherectomy. It describes plaque removal or cutting, unlike the pressure-wave plaque modification reported with 92972.
No office rate
92928 represents coronary stent placement. It may be the primary intervention paired with 92972 when lithotripsy is performed during the same treatment.
Compare 92972 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$118.13
Southern Maine →
Office / nonfacility
Unavailable
Facility
$119.49
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92972 billing questions
Can 92972 be reported by itself?
No. It is an add-on code and must be billed with a primary coronary intervention.
How is lithotripsy different from coronary atherectomy?
Lithotripsy uses pressure waves to modify calcified plaque. Atherectomy removes or cuts plaque, so report the code that matches the technique actually performed.
What should the procedure note support?
Document the coronary vessel and calcified lesion treated, the use of the lithotripsy catheter, and the primary coronary intervention performed.
Is 92972 reported for balloon angioplasty or stent placement?
It may be paired with a primary coronary intervention when lithotripsy is performed; choose the primary code based on the angioplasty, stent, or other intervention documented.
Does 92972 have its own global period?
CMS identifies it as an add-on paid within the primary procedure's global period.
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.
11,91692961,,Cardioversion electric int,A,,4.23,1.24,NA,1.24,,0.98,6.45,6.45,0,000,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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