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CPT 2026 · Cardiovascular

CPT 92930

Global 000 Active

Prq tcat plmt ntrac st 2+les

Effective 2026-04-01 Conv. factor $33.4009
$512.72
National Avg (Non-Fac)
15.13
Total RVU
0
NCCI Partners
109
MPFS Localities

CPT 92930 Billing & Documentation Guide

CPT code 92930 (Prq tcat plmt ntrac st 2+les) is classified under Cardiovascular with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 12, a non-facility practice expense RVU of 2.27, and a malpractice RVU of 0.86, a total non-facility RVU of 15.13 and facility RVU of 15.13. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $512.72, though rates vary from $480.73 to $697.79 based on MAC locality and Geographic Practice Cost Indices (GPCIs).

When billing 92930, 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 current NCCI edits before bundling with related codes.

Payment Status & Global Period

CMS Status Indicator
A

Active code (paid under MPFS)

Global Period
000

Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day

RVU Breakdown, CPT 92930

Component Non-Facility Facility
Work RVU1212
Practice Expense RVU2.272.27
Malpractice RVU0.860.86
Total RVU15.1315.13
Conversion Factor$33.4009

2026 Medicare Reimbursement by State, CPT 92930

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 $520.47 $520.47 $506.12 - $569.63 29
Florida $532.8 $532.8 $516.47 - $552.38 3
Georgia $508.11 $508.11 $502.68 - $513.54 2
Illinois $530.37 $530.37 $514.93 - $545.74 4
Michigan $512.44 $512.44 $502.46 - $522.41 2
North Carolina $489.91 $489.91 $489.91 - $489.91 1
New York $543.45 $543.45 $493.03 - $569.95 5
Ohio $498.99 $498.99 $498.99 - $498.99 1
Pennsylvania $509.39 $509.39 $497.56 - $521.22 2
Texas $504.34 $504.34 $496.49 - $518.83 8

Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.

Frequently Asked Questions, CPT 92930

What does CPT code 92930 mean? +

CPT code 92930 represents: Prq tcat plmt ntrac st 2+les. It's in the Cardiovascular category with a global period of 000.

What is the Medicare reimbursement for CPT 92930? +

The 2026 Medicare national average non-facility payment for CPT 92930 is $512.72. Rates range from $480.73 to $697.79 across 53 states depending on MAC locality and GPCIs.

What modifiers can I use with CPT 92930? +

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 92930? +

No NCCI PTP edits currently on file for this code.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 17, 2026.

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