CPT 92924
Global 000 ActivePrq trluml c athrc 1 art&/br
CPT 92924 Billing & Documentation Guide
CPT code 92924 (Prq trluml c athrc 1 art&/br) is classified under Cardiovascular with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 9.88, a non-facility practice expense RVU of 1.86, and a malpractice RVU of 2.31, a total non-facility RVU of 14.05 and facility RVU of 14.05. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $467.62, though rates vary from $413.28 to $603.68 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92924, 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 92924 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 2 units of 92924 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 92924
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 9.88 | 9.88 |
| Practice Expense RVU | 1.86 | 1.86 |
| Malpractice RVU | 2.31 | 2.31 |
| Total RVU | 14.05 | 14.05 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92924
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 | $457.18 | $457.18 | $445.06 - $497.24 | 29 |
| Florida | $542.53 | $542.53 | $505.36 - $589.8 | 3 |
| Georgia | $482.09 | $482.09 | $477.39 - $486.78 | 2 |
| Illinois | $538.63 | $538.63 | $507.32 - $571.82 | 4 |
| Michigan | $496.93 | $496.93 | $473.83 - $520.04 | 2 |
| North Carolina | $437.27 | $437.27 | $437.27 - $437.27 | 1 |
| New York | $519.85 | $519.85 | $443.26 - $568.27 | 5 |
| Ohio | $464.49 | $464.49 | $464.49 - $464.49 | 1 |
| Pennsylvania | $476.3 | $476.3 | $459.94 - $492.66 | 2 |
| Texas | $464.65 | $464.65 | $454.39 - $500.5 | 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 92924
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92924 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 92924
What does CPT code 92924 mean? +
CPT code 92924 represents: Prq trluml c athrc 1 art&/br. It's in the Cardiovascular category with a global period of 000.
What is the Medicare reimbursement for CPT 92924? +
The 2026 Medicare national average non-facility payment for CPT 92924 is $467.62. Rates range from $413.28 to $603.68 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92924? +
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 92924? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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