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CPT 92987 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Percutaneous Balloon Valvuloplasty; Mitral Valve
Key FactDetail
Service Type

Medicine Services and Procedures

Cardiovascular Procedures

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

GC - Service performed by resident under supervision

74 - Discontinued After Anesthesia

26 - Professional component

Complexity LevelHigh

National average reimbursement for CPT 92987 by major payers:

bcbs

$1,785.28

uhc

$1,843.91

aetna

$1,807.48

cigna

$2,200.71

Preview provider-level rates for...
For billing codeCPT 92987
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 92987

United
92987$1348.941457345910 - BRADLEY SMITH561079264 - EMERGEORTHO, P.A.NCOrthopaedic Surgery Physician (207X00000X)
United
92987$1235.001225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLCSCDiagnostic Radiology Physician (2085R0202X)
United
92987$1844.911225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLCSCDiagnostic Radiology Physician (2085R0202X)
United
92987$1844.911225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLCSCDiagnostic Radiology Physician (2085R0202X)
United
92987$1654.061225014657 - CAROLINA RADIOLOGY ASSOCIATES LLC571049603 - (SC) CAROLINA RADIOLOGY ASSOCIATES, LLCSCDiagnostic Radiology Physician (2085R0202X)
United
92987$25000.001417471467 - WEATHERFORD HEALTH SERVICES, LLC, MEDICAL CITY WEATHERFORD822073410 - (TX) WEATHERFORD HEALTH SERVICES LLCTXGeneral Acute Care Hospital (282N00000X)
United
92987$5623.001215996632 - PARK PLACE SURGERY CENTER, LLC, PARK PLACE SURGICAL HOSPITAL721404092 - (LA) PARK PLACE SURGERY CENTER LLCLAGeneral Acute Care Hospital (282N00000X)
United
92987$2467.541063491629 - JOSELYN GONZALEZ521958352 - ATLANTIC HEALTH SYSTEM INCNJInternal Medicine Physician (207R00000X)
United
92987$3028.051285669036 - ROBERT RUBINO521958352 - ATLANTIC HEALTH SYSTEM INCNJObstetrics & Gynecology Physician (207V00000X)
United
92987$2467.541295952380 - OVERLOOK HOSPITAL, ATLANTIC HEALTH SYSTEMS521958352 - ATLANTIC HEALTH SYSTEM INCNJDurable Medical Equipment & Medical Supplies (332B00000X)
United
92987$4342.001194893263 - BAYLOR COUNTY HOSPITAL DISTRICT, SEYMOUR HOSPITAL752299922TXCritical Access Hospital (282NC0060X)
United
92987$18756.001396778064 - TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE751977850 - (TX) TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNETXGeneral Acute Care Hospital (282N00000X)
United
92987$7929.001962976472 - BAXTER COUNTY REGIONAL HOSPITAL, INC710561765 - BAXTER COUNTY REGIONAL HOSPITAL INCARGeneral Acute Care Hospital (282N00000X)
United
92987$24278.001275576381 - SADDLEBACK MEMORIAL MEDICAL CENTER952585792 - (CA) MEMORIAL HEALTH SERVICESCAGeneral Acute Care Hospital (282N00000X)
United
92987$4200.001306843826 - WEST CARROLL HEALTH SYSTEMS LLC, WEST CARROLL MEMORIAL HOSPITAL562300247 - WEST CARROLL HEALTH SYSTEMS L.L.C.LAGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 92987 vs. Other Cardiovascular Procedures Codes

The CPT 92987 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 92987 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
92986-CPTHighPerc Balloon Vulvoplasty; Aortic Valve
92987-CPTHighPercutaneous Balloon Valvuloplasty; Mitral Valve
92990-CPTHighPerc Balloon Vulvoplasty; Pulmonary
93010-CPTLowEcg;Interpretation & Report Only

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92987. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 92987 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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