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CPT 92987 Fee Schedule

Last Verified: January 2026

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
Medicare Fee ScheduleView Medicare rates for 92987

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$3028.051285669036 - ROBERT RUBINO521958352 - ATLANTIC HEALTH SYSTEM INCNJObstetrics & Gynecology Physician (207V00000X)
United
92987$11621.001861106353 - SAINT LUKES EAST HOSPITAL562488077 - (MO) SAINT LUKES EAST HOSPITALMOGeneral Acute Care Hospital (282N00000X)
United
92987$3582.001801943725 - PORTER351088541INGeneral Acute Care Hospital (282N00000X)
United
92987$18283.001730692344 - HMH HOSPITALS CORPORATION, PALISADES MEDICAL CENTER221487576 - HACKENSACK MERIDIAN HEALTH INCNJGeneral Acute Care Hospital (282N00000X)
United
92987$12309.001336478478 - BRIDGPORT HOSPITAL60646554 - (CT) BRIDGEPORT HOSPITALCTGeneral Acute Care Hospital (282N00000X)
United
92987$14310.001174506943 - WEST GEORGIA HEALTH SYSTEM205497506 - (GA) WEST GEORGIA MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
92987$1326.001447280284 - LORETTO HOSPITAL362200248 - (IL) LORETTO HOSPITALILGeneral Acute Care Hospital (282N00000X)
United
92987$17417.001538260229 - J. ARTHUR DOSHER MEMORIAL HOSPITAL560845824 - (NC) J ARTHUR DOSHER MEMORIAL HOSPITALNCCritical Access Hospital (282NC0060X)
United
92987$18100.001477591055 - THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION581588823 - THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATIONNCGeneral 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$7945.001124318050 - MAIMONIDES MEDICAL CENTER111635081 - (NY) MAIMONIDES MEDICAL CENTER-NYGeneral Acute Care Hospital (282N00000X)
United
92987$1401.001639377294 - BUNKIE GENERAL HOSPITAL720697593LACritical Access Hospital (282NC0060X)
United
92987$24278.001275576381 - SADDLEBACK MEMORIAL MEDICAL CENTER952585792 - (CA) MEMORIAL HEALTH SERVICESCAGeneral Acute Care Hospital (282N00000X)
United
92987$13591.001518969419 - AHS HOSPITAL CORP, HACKETTSTOWN MEDICAL CENTER521958352 - ATLANTIC HEALTH SYSTEM INCNJGeneral Acute Care Hospital (282N00000X)
United
92987$1704.001699770149 - MUENSTER HOSPITAL DISTRICT, MUENSTER MEMORIAL HOSPITAL751244289 - (TX) MUENSTER HOSPITAL DISTRICTTXCritical Access Hospital (282NC0060X)
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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