Billing code 92972: Coronary lithotripsyMedicare rate & RVUs in Utah
Reported alongside a coronary intervention when balloon-based intravascular lithotripsy is used to modify calcified plaque in a coronary vessel.
CMS doesn’t publish an office rate for 92972 in Utah.
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 92972 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $120.43 |
How the 92972 rate is calculated
Each of 92972’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 · 92972
RVUs × geographic indexes × conversion factor
Work2.90
2.90 RVUs× 1.000 GPCI
Practice expense0.55
0.55 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
3.6600
Conversion factor
$33.4009
Medicare rate
$122.25
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92972
The CMS indicators that decide how 92972 is paid alongside other services.
CMS payment indicators · 92972
Coronary lithotripsy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
92972 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92920Coronary angioplasty
- 92920 represents coronary balloon angioplasty. Use 92972 as an add-on when intravascular lithotripsy is also performed to modify calcified plaque.
- 92924Coronary atherectomy
- 92924 represents coronary atherectomy. It describes plaque removal or cutting, unlike the pressure-wave plaque modification reported with 92972.
- 92928Coronary stenting
- 92928 represents coronary stent placement. It may be the primary intervention paired with 92972 when lithotripsy is performed during the same treatment.
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 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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