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The CPT® Code 92925 refers to a specific cardiac procedure known as percutaneous transluminal coronary atherectomy, which is often performed in conjunction with coronary angioplasty. This procedure is utilized to treat blockages in the coronary arteries, which can lead to serious cardiovascular issues. During the atherectomy, a physician employs a mechanical device to remove plaque buildup from the arterial walls, thereby restoring blood flow. The procedure typically begins with the preparation of the skin over the access artery, commonly one of the femoral arteries, followed by puncturing the artery with a needle and placing a sheath. A guidewire is then navigated through the aorta and into the occluded coronary artery. The atherectomy device, equipped with a specialized balloon catheter, is used to shave away the plaque. This process may involve multiple passes to ensure thorough removal of the obstruction. After the atherectomy, a balloon-tipped angioplasty catheter may be used to further compress any residual plaque, enhancing the artery's patency. Finally, contrast is injected, and a completion angiography is performed to confirm the success of the procedure. It is important to note that CPT® Code 92925 is specifically designated for each additional branch of a major coronary artery treated during the procedure, while CPT® Code 92924 is used for the treatment of a single major coronary artery or branch.
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The procedure associated with CPT® Code 92925 is indicated for patients experiencing significant coronary artery disease, particularly those with blockages in multiple branches of a major coronary artery. The following conditions may warrant the performance of this procedure:
The procedure for CPT® Code 92925 involves several critical steps to ensure effective treatment of the coronary artery blockage. The following outlines the procedural steps:
After the completion of the procedure associated with CPT® Code 92925, patients are typically monitored for any complications, such as bleeding or adverse reactions to the contrast material. Recovery may involve a short hospital stay, during which vital signs are closely observed. Patients may be advised to limit physical activity for a specified period to allow for proper healing. Follow-up appointments are essential to assess the success of the procedure and to monitor for any signs of restenosis or other complications. The physician may also discuss lifestyle modifications and medications to support cardiovascular health and prevent future blockages.
| Short Descr | PRQ CARD ANGIO/ATHRECT ADDL | Medium Descr | PRQ TRLUML CORONARY ANGIO/ATHEREC ADDL ART/BRNCH | Long Descr | Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) | Status Code | Bundled Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2D - Major procedure, cardiovascualr-Coronary angioplasty (PTCA) | MUE | 6 | CCS Clinical Classification | 45 - Percutaneous transluminal coronary angioplasty (PTCA) |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 92924 | Resequenced Code MPFS Status: Active Code APC J1 Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch | 92928 | Resequenced Code MPFS Status: Active Code APC J1 ASC J8 Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 92933 | Resequenced Code MPFS Status: Active Code APC J1 Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch | 92937 | Resequenced Code MPFS Status: Active Code APC J1 Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel | 92941 | Resequenced Code MPFS Status: Active Code APC C Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel | 92943 | Resequenced Code MPFS Status: Active Code APC J1 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vessel | C9600 | Medicare Coverage: Special Coverage Instructions APC J1 ASC J8 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | C9602 | Medicare Coverage: Special Coverage Instructions APC J1 Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch | C9604 | Medicare Coverage: Special Coverage Instructions APC J1 Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel | C9606 | Medicare Coverage: Special Coverage Instructions APC C Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel | C9607 | Medicare Coverage: Special Coverage Instructions APC J1 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | LC | Left circumflex coronary artery | LD | Left anterior descending coronary artery | LM | Left main coronary artery | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | RC | Right coronary artery | RI | Ramus intermedius coronary artery | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 2013-01-01 | Added | Added |
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