No office rate
Use 92986 when the aortic valve is the target of catheter-based balloon treatment; this code targets the pulmonary valve.
On this page
CMS RVU26D · Effective 2026-10-01
92990 Valve dilation Medicare reimbursement rates in Virginia
Reports catheter-based balloon treatment of a narrowed pulmonary valve, typically for pulmonary valve stenosis treated in a cardiac catheterization setting. Compare 92990 office and facility rates across CMS payment localities in Virginia.
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 92990 in Virginia?
Virginia 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
$920.23–$1054.88
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.
Cardiology
About 92990: Percutaneous pulmonary valve dilation
Reports catheter-based balloon treatment of a narrowed pulmonary valve, typically for pulmonary valve stenosis treated in a cardiac catheterization setting.
This code describes catheter-based balloon enlargement of a narrowed pulmonary valve. An interventional cardiologist typically advances a balloon catheter through the heart and across the valve, then inflates it to improve blood flow. A common clinical setting is treatment of pulmonary valve stenosis, including congenital stenosis, in a cardiac catheterization laboratory. The target is the valve itself, not a narrowed pulmonary artery branch.
Report the service when the pulmonary valve is treated, and document the diagnosis, targeted valve, catheter-based intervention, and procedural findings. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 92990
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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 RVU17.81 · 62%
- Practice expense (office) RVU6.85 · 24%
- Malpractice RVU4.26 · 15%
19
Medicare services in 2024 · #5959 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.
92990 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Use 92987 for catheter-based balloon treatment of the mitral valve. The treated valve determines which code applies.
No office rate
92997 addresses balloon treatment of a pulmonary artery, not the pulmonary valve. Select based on the structure treated.
No office rate
92998 concerns additional pulmonary artery balloon treatment, whereas this code addresses the pulmonary valve.
Compare 92990 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$1054.88
Virginia →
Office / nonfacility
Unavailable
Facility
$920.23
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92990 billing questions
How is this code different from 92986 or 92987?
This code is for balloon treatment of the pulmonary valve. Codes 92986 and 92987 address the aortic and mitral valves, respectively.
Does this code describe pulmonary artery balloon angioplasty?
No. It addresses the pulmonary valve. Codes 92997 and 92998 concern balloon treatment of pulmonary artery stenosis.
Can pulmonary artery angioplasty be reported in the same session?
It may be reported when a separate pulmonary artery lesion is treated in addition to the pulmonary valve. Document each treated structure and intervention.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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.
11,92792979,TC,Endoluminl ivus oct c ea,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
11,92892986,,Revision of aortic valve,A,,22.04,7.76,NA,7.76,,5.17,34.97,34.97,0,090,0.09,0.84,0.07,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92992987,,Revision of mitral valve,A,,22.80,7.98,NA,7.98,,5.30,36.08,36.08,0,090,0.09,0.84,0.07,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,93092990,,Revision of pulmonary valve,A,,17.81,6.85,NA,6.85,,4.26,28.92,28.92,0,090,0.09,0.84,0.07,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,93192997,,Pul art balloon repr percut,A,,11.68,2.36,NA,2.36,,2.35,16.39,16.39,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,93292998,,Pul art balloon repr percut,A,,5.84,1.08,NA,1.08,,1.31,8.23,8.23,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,93393000,,Electrocardiogram complete,A,,0.17,0.27,,0.27,NA,0.02,0.46,0.46,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00