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Coronary thrombolysis is a medical procedure aimed at dissolving blood clots that obstruct the coronary arteries, which supply blood to the heart muscle. The procedure can be performed through two primary methods: intracoronary infusion and intravenous infusion. The CPT® Code 92977 specifically refers to the intravenous infusion method. In this approach, a healthcare professional selects a vein, typically in the arm, and inserts a needle or an intracatheter to facilitate the administration of a thrombolytic agent. This agent, which may include medications such as streptokinase, alteplase, or reteplase, is injected into the bloodstream to aid in the dissolution of the clot located in the coronary artery. The goal of this procedure is to restore blood flow to the heart muscle, thereby minimizing damage and improving patient outcomes. It is essential for medical coders and billers to understand the nuances of this procedure, as accurate coding is critical for proper reimbursement and compliance with healthcare regulations.
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The procedure of coronary thrombolysis by intravenous infusion (CPT® Code 92977) is indicated for patients experiencing specific conditions related to coronary artery occlusion. These indications include:
The procedure for intravenous thrombolysis (CPT® Code 92977) involves several critical steps to ensure effective treatment of the coronary artery occlusion. These steps include:
Following the intravenous thrombolysis procedure (CPT® Code 92977), patients are typically monitored in a clinical setting for a specified period to assess their response to the treatment. This includes observing for any signs of bleeding, allergic reactions, or other complications associated with thrombolytic therapy. Patients may also undergo follow-up imaging studies, such as echocardiograms or angiography, to evaluate the effectiveness of the thrombolysis in restoring blood flow to the coronary arteries. The healthcare team will provide instructions for post-procedure care, which may include activity restrictions and medication management to ensure optimal recovery and prevent further cardiovascular events.
| Short Descr | DISSOLVE CLOT HEART VESSEL | Medium Descr | THROMBOLYSIS CORONARY INTRAVENOUS INFUSION | Long Descr | Thrombolysis, coronary; by intravenous infusion | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 5 - Incident To 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 | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 46 - Coronary thrombolysis |
| 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 | RT | Right side (used to identify procedures performed on the right side of the body) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period |
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| 2013-01-01 | Changed | Guideline information changed. |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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