Billing code 92986: Aortic valvuloplastyMedicare rate & RVUs in Nevada
Reports catheter-based balloon dilation of a stenotic aortic valve, commonly performed in a cardiac catheterization laboratory as palliation or a bridge to further treatment.
CMS doesn’t publish an office rate for 92986 in Nevada.
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 92986 covers
An interventional cardiologist uses a catheter-mounted balloon to widen a narrowed aortic valve. The procedure is performed in a cardiac catheterization laboratory and may be used for severe aortic stenosis when temporary relief is sought, including as a bridge to valve replacement or as palliation. It is distinct from replacing the valve with a prosthetic valve.
Report this code when the balloon dilation is performed on the aortic valve; the valve treated and the procedure should be clear in the operative or catheterization report. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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.
92986 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,139.45 |
How the 92986 rate is calculated
Each of 92986’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 · 92986
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 22.04Practice expense 7.76Malpractice 5.17
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92986
92986 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 92986
Aortic valvuloplasty
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 92986
Aortic valvuloplasty
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
92986 without 51 · national facility
$1,168.03
Aortic valvuloplasty
92986-51 · Second procedure: 50%
$584.02
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
92986 compared with similar codes
Compare codes
92986 vs 92987 vs 92990 vs 33361 vs 33405: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92987Mitral valvuloplasty
- Use 92987 when the balloon dilation treats the mitral valve; 92986 identifies treatment of the aortic valve.
- 92990Valve dilation
- Use 92990 for balloon dilation of the pulmonary valve, not the aortic valve.
- 33361TAVR
- Code 33361 describes transcatheter aortic valve replacement by a percutaneous femoral artery approach; 92986 is balloon dilation without valve replacement.
- 33405Aortic valve replacement
- Code 33405 is surgical aortic valve replacement with cardiopulmonary bypass, unlike catheter-based balloon dilation reported with 92986.
92986 billing questions
How is this code distinguished from 92987 or 92990?
Select by the valve treated: 92986 is for the aortic valve, 92987 for the mitral valve, and 92990 for the pulmonary valve.
Is this code for aortic valve replacement?
No. It reports balloon dilation of the native aortic valve; valve replacement, whether surgical or transcatheter, is a different procedure.
What documentation supports reporting 92986?
The procedure report should identify the aortic valve as the treatment site and describe the catheter-based balloon dilation performed.
How does the 90-day global period affect related care?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant-at-surgery be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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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