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The CPT® Code 92970 refers to a specific procedure known as internal cardioassist, which is a method of circulatory assistance. This procedure involves the insertion of a catheter equipped with a balloon or similar device through the femoral artery. Once the catheter is in place, the balloon is expanded within the aorta. The primary purpose of this intervention is to widen the artery, thereby promoting improved blood flow throughout the circulatory system. This technique is particularly beneficial for patients experiencing compromised circulation, as it can help alleviate symptoms associated with reduced blood flow. It is important to note that there is a related external procedure coded as 92971, which should be used when the circulatory assist is performed externally rather than internally.
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The procedure coded as CPT® 92970 is indicated for patients who require assistance with their circulatory system due to various cardiovascular conditions. The following are the explicitly provided indications for performing this internal cardioassist procedure:
The internal cardioassist procedure involves several critical steps to ensure effective circulatory support. The following procedural steps are outlined:
Following the internal cardioassist procedure, patients may require monitoring to assess the effectiveness of the intervention and to ensure there are no complications. Expected recovery may vary based on individual patient conditions, but generally, patients will be observed for any signs of adverse reactions or complications related to the catheter insertion. Additional considerations may include follow-up evaluations to determine the long-term efficacy of the procedure and any necessary adjustments to ongoing treatment plans.
| Short Descr | CARDIOASSIST INTERNAL | Medium Descr | CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL | Long Descr | Cardioassist-method of circulatory assist; internal | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 50 - Extracorporeal circulation auxiliary to open heart procedures |
| 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. | 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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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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