CPT 92920
Global 000 ActivePrq trluml c angiop 1art&/br
CPT 92920 Billing & Documentation Guide
CPT code 92920 (Prq trluml c angiop 1art&/br) is classified under Cardiovascular with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 8.14, a non-facility practice expense RVU of 1.54, and a malpractice RVU of 1.91, a total non-facility RVU of 11.59 and facility RVU of 11.59. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $385.73, though rates vary from $340.81 to $497.76 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92920, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 92920 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 92920 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 92920
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 8.14 | 8.14 |
| Practice Expense RVU | 1.54 | 1.54 |
| Malpractice RVU | 1.91 | 1.91 |
| Total RVU | 11.59 | 11.59 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92920
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $377.09 | $377.09 | $367.08 - $410.16 | 29 |
| Florida | $447.68 | $447.68 | $416.94 - $486.77 | 3 |
| Georgia | $397.7 | $397.7 | $393.81 - $401.58 | 2 |
| Illinois | $444.45 | $444.45 | $418.56 - $471.89 | 4 |
| Michigan | $409.98 | $409.98 | $390.87 - $429.08 | 2 |
| North Carolina | $360.64 | $360.64 | $360.64 - $360.64 | 1 |
| New York | $428.89 | $428.89 | $365.6 - $468.91 | 5 |
| Ohio | $383.15 | $383.15 | $383.15 - $383.15 | 1 |
| Pennsylvania | $392.91 | $392.91 | $379.39 - $406.43 | 2 |
| Texas | $383.28 | $383.28 | $374.79 - $412.92 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 92920
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92920 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01924 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01925 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0216T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0632T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 92920
What does CPT code 92920 mean? +
CPT code 92920 represents: Prq trluml c angiop 1art&/br. It's in the Cardiovascular category with a global period of 000.
What is the Medicare reimbursement for CPT 92920? +
The 2026 Medicare national average non-facility payment for CPT 92920 is $385.73. Rates range from $340.81 to $497.76 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92920? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 92920? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team