No office rate
92920 reports balloon angioplasty of a coronary artery. 92974 is the additional intracoronary radiation treatment for in-stent restenosis, not the balloon treatment itself.
On this page
CMS RVU26D · Effective 2026-10-01
92974 Coronary brachytherapy Medicare reimbursement rates in Pennsylvania
Reports catheter-based delivery of intracoronary radiation to a coronary segment with in-stent restenosis during a related coronary intervention. Compare 92974 office and facility rates across CMS payment localities in Pennsylvania.
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 92974 in Pennsylvania?
Pennsylvania 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
$135.88–$145.45
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.
Interventional cardiology
About 92974: Intracoronary radiation therapy delivery
Reports catheter-based delivery of intracoronary radiation to a coronary segment with in-stent restenosis during a related coronary intervention.
An interventional cardiologist uses a catheter-based radiation delivery system to treat a coronary artery segment narrowed again inside a previously placed stent. The system is positioned in the treated segment under imaging guidance, and radiation is delivered to limit recurrent tissue growth. This uncommon service is typically performed in a hospital cardiac catheterization laboratory as part of coronary intervention for in-stent restenosis.
Report 92974 as an add-on with the primary procedure performed to treat the restenotic lesion; it is not a stand-alone service. Documentation should identify the previously stented coronary segment, the restenosis, the radiation delivery performed, and the related primary intervention. CMS pays this add-on within the primary procedure's global period. The record should support the distinct intracoronary radiation treatment in addition to the intervention used to prepare or treat the lesion.
CMS billing rules for 92974
- 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 RVU2.93 · 71%
- Practice expense (office) RVU0.55 · 13%
- Malpractice RVU0.67 · 16%
305
Medicare services in 2024 · #3983 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.
92974 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
92924 reports coronary atherectomy. Use 92974 for intracoronary radiation delivery when treating restenosis within a prior stent; atherectomy alone is not radiation therapy.
92978
No office rateEndoluminl ivus oct c 1st
92978 reports intravascular ultrasound or optical coherence tomography imaging. It does not represent delivery of intracoronary radiation.
No office rate
92972 reports coronary intravascular lithotripsy for calcified lesions. 92974 is for intracoronary radiation treatment of in-stent restenosis.
Compare 92974 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$145.45
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$135.88
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92974 billing questions
Can 92974 be reported by itself?
No. CMS identifies it as an add-on, so it must be billed with a related primary procedure performed for the coronary lesion.
How is 92974 different from coronary angioplasty?
Angioplasty opens the narrowed segment with a balloon. 92974 represents the additional catheter-based intracoronary radiation treatment for in-stent restenosis.
What should the record support?
Document the coronary segment with prior stent and restenosis, the radiation delivery system placement and treatment, and the primary coronary intervention performed.
Is imaging guidance included in 92974?
The intracoronary radiation delivery service includes the guidance associated with positioning and treating the target segment. Separately reportable imaging requires support as a distinct service.
How does the add-on global-period rule affect payment?
CMS pays 92974 within the global period of its primary procedure. The add-on must accompany that primary service rather than be submitted alone.
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.
11,91892971,,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
11,92492978,TC,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,,33.4009,03,0,99,0.00,0.00,0.00