No office rate
Use 92987 when the balloon dilation treats the mitral valve; 92986 identifies treatment of the aortic valve.
On this page
CMS RVU26D · Effective 2026-10-01
92986 Aortic valvuloplasty Medicare reimbursement rates in Wyoming
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. Compare 92986 office and facility rates across CMS payment localities in Wyoming.
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 92986 in Wyoming?
Wyoming 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
$1123.13
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 procedure
About 92986: Percutaneous aortic balloon valvuloplasty
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.
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.
CMS billing rules for 92986
- 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 RVU22.04 · 63%
- Practice expense (office) RVU7.76 · 22%
- Malpractice RVU5.17 · 15%
1.9K
Medicare services in 2024 · #2502 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.
92986 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Use 92990 for balloon dilation of the pulmonary valve, not the aortic valve.
No office rate
Code 33361 describes transcatheter aortic valve replacement by a percutaneous femoral artery approach; 92986 is balloon dilation without valve replacement.
No office rate
Code 33405 is surgical aortic valve replacement with cardiopulmonary bypass, unlike catheter-based balloon dilation reported with 92986.
Compare 92986 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1123.13
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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 92986 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
11,928
- Code
- 92986
- Physician work
- 22.04
- Practice expense
- 7.76
- Malpractice
- 5.17
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.04 | × 1.000 | 22.0400 |
| Practice expense | 7.76 | × 1.000 | 7.7600 |
| Malpractice | 5.17 | × 0.740 | 3.8258 |
| Total RVUs | 33.6258 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1123.13
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.04 | 1 |
| Practice expense | 7.76 | 1 |
| Malpractice | 5.17 | 0.74 |
(22.04 × 1 + 7.76 × 1 + 5.17 × 0.74) × $33.4009 = $1123.13
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.
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 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.
11,92592979,,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,,33.4009,09,0,99,0.00,0.00,0.00
11,92692979,26,Endoluminl ivus oct c ea,A,,1.40,0.53,,0.53,,0.27,2.20,2.20,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,92792979,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,