No office rate
Use 92937 for revascularization of or through a coronary bypass graft. Use 92928 for stent treatment of a native coronary artery.
On this page
CMS RVU26D · Effective 2026-10-01
92937 Graft revascularization Medicare reimbursement rates in Vermont
Reports catheter-based treatment of one coronary bypass-graft vessel, combining angioplasty, atherectomy, or stenting as needed during the procedure. Compare 92937 office and facility rates across CMS payment localities in Vermont.
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 92937 in Vermont?
Vermont 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
$480.30
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Cardiology
About 92937: Coronary bypass graft revascularization
Reports catheter-based treatment of one coronary bypass-graft vessel, combining angioplasty, atherectomy, or stenting as needed during the procedure.
An interventional cardiologist uses catheter-based techniques to restore blood flow in or through one coronary bypass-graft vessel. The treated conduit may be a saphenous vein graft, an internal mammary artery graft, or another free arterial graft; treatment may also reach the native coronary artery through the graft. The service is typically performed in a hospital catheterization laboratory. Angioplasty, atherectomy, stenting, and distal embolic protection when performed are encompassed in this graft revascularization service.
Report one unit for the treated vessel, and use the additional-branch code when another eligible branch is treated. The procedure report should identify the graft, target vessel or branch, treatment performed, and any embolic protection. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures in the same session are subject to the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate; co-surgeons and team surgery are not permitted. Assistant-at-surgery payment requires documentation of medical necessity.
CMS billing rules for 92937
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.02 · 70%
- Practice expense (office) RVU2.07 · 13%
- Malpractice RVU2.59 · 17%
9.8K
Medicare services in 2024 · #1478 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.
92937 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
92941 identifies revascularization of a total occlusion during acute myocardial infarction. This code describes graft revascularization without that acute-infarction circumstance.
No office rate
92943 is for revascularization of a chronic total occlusion. Choose the graft revascularization code when the service is not reported under the chronic-total-occlusion code.
Compare 92937 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
Vermont →
Office / nonfacility
Unavailable
Facility
$480.30
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 92937 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
11,909
- Code
- 92937
- Physician work
- 11.02
- Practice expense
- 2.07
- Malpractice
- 2.59
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.02 | × 1.000 | 11.0200 |
| Practice expense | 2.07 | × 0.990 | 2.0493 |
| Malpractice | 2.59 | × 0.506 | 1.3105 |
| Total RVUs | 14.3798 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$480.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.02 | 1 |
| Practice expense | 2.07 | 0.99 |
| Malpractice | 2.59 | 0.506 |
(11.02 × 1 + 2.07 × 0.99 + 2.59 × 0.506) × $33.4009 = $480.30
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.
92937 billing questions
When is this code chosen instead of a native-coronary intervention code?
Use it when the treated vessel is a coronary bypass graft or the intervention reaches the target through that graft. Native-coronary intervention codes describe treatment of a native vessel rather than graft revascularization.
Are angioplasty, atherectomy, and stenting reported separately for the same graft vessel?
They are encompassed in this service when performed on the treated graft vessel. Distal embolic protection is also included when performed.
How should an additional treated branch be reported?
Report the primary graft revascularization code for the first vessel and the applicable add-on code for each eligible additional branch. The operative report should distinguish the treated branches.
Can modifier 50 be used for treatment of grafts on both sides?
No. Modifier 50 is inappropriate for this code.
What documentation supports assistant-at-surgery payment?
The record must document the medical necessity of the assistant's participation. Assistant-at-surgery payment is limited to cases supported by that documentation.
What same-session payment reduction may affect this service?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other eligible procedures in the same session are paid at 50%.
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.
11,90692928,,Prq tcat plmt ntrac st 1 les,A,,9.75,1.84,NA,1.84,,2.30,13.89,13.89,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90792930,,Prq tcat plmt ntrac st 2+les,A,,12.00,2.27,NA,2.27,,0.86,15.13,15.13,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90892933,,Prq trlml c athrc st angiop1,A,,11.64,2.20,NA,2.20,,2.73,16.57,16.57,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,90992937,,Prq trluml revsc cab grf 1,A,,11.02,2.07,NA,2.07,,2.59,15.68,15.68,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91092941,,Prq trlml revsc tot occl ami,A,,12.40,2.35,NA,2.35,,2.90,17.65,17.65,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91192943,,Prq trluml revsc ch occ ant,A,,13.35,2.51,NA,2.51,,3.12,18.98,18.98,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91292945,,Prq trl rvs ch occ ant&rtrgr,A,,15.00,2.84,NA,2.84,,1.08,18.92,18.92,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817