© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 92998 refers to a percutaneous transluminal pulmonary artery balloon angioplasty performed on each additional vessel beyond the primary procedure. This intervention is specifically aimed at treating pulmonary artery stenosis, a condition characterized by the narrowing of the pulmonary arteries, which can lead to reduced blood flow and increased pressure in the heart. The procedure is typically initiated by accessing the femoral artery, where the skin is prepped, and a puncture is made to insert a sheath. A guidewire is then navigated through the vascular system to reach the affected pulmonary artery. Following this, a catheter is introduced, allowing for the injection of contrast material to visualize the stenosis through imaging techniques. The angioplasty involves the use of a balloon catheter, which is strategically placed at the site of narrowing and inflated to dilate the artery. This process may require multiple inflations to achieve optimal results, and in some cases, a larger balloon may be utilized for further dilation. The completion of the procedure is confirmed through additional imaging to ensure that the pulmonary artery has been adequately treated. It is important to note that this code is used in conjunction with the primary procedure code for the treatment of a single pulmonary artery, specifically CPT® Code 92997, indicating that 92998 is reserved for each additional vessel treated during the same session.
© Copyright 2025 Coding Ahead. All rights reserved.
The percutaneous transluminal pulmonary artery balloon angioplasty procedure, represented by CPT® Code 92998, is indicated for the treatment of pulmonary artery stenosis. This condition may present with various symptoms and complications, necessitating intervention to restore adequate blood flow through the pulmonary arteries. The following are specific indications for performing this procedure:
The procedural steps for performing a percutaneous transluminal pulmonary artery balloon angioplasty, as described by CPT® Code 92998, are as follows:
Post-procedure care following a percutaneous transluminal pulmonary artery balloon angioplasty involves monitoring the patient for any immediate complications, such as bleeding or vascular injury at the access site. Patients may be observed for signs of improved symptoms related to pulmonary artery stenosis. Follow-up imaging may be required to assess the long-term success of the procedure and ensure that the pulmonary artery remains patent. Additionally, patients may receive instructions regarding activity restrictions and medication management to support recovery and prevent complications.
| Short Descr | PUL ART BALLOON REPR PERCUT | Medium Descr | PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL | Long Descr | Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | 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 | Items and Services Packaged into APC Rates | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 7 | CCS Clinical Classification | 54 - Other vascular catheterization, not heart |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 92997 | MPFS Status: Active Code APC J1 CPT Assistant Article Illustration for Code Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel | 93568 | Addon Code MPFS Status: Active Code APC N ASC N1 Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure) | 93569 | Add-on Code MPFS Status: Active Code APC N Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, unilateral (List separately in addition to code for primary procedure) | 93573 | Add-on Code Resequenced Code MPFS Status: Active Code APC N Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral (List separately in addition to code for primary procedure) | 93574 | Add-on Code Resequenced Code MPFS Status: Active Code APC N Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac catheterization (List separately in addition to code for primary procedure) | 93575 | Add-on Code Resequenced Code MPFS Status: Active Code APC N Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) arising off the aorta or its systemic branches, during cardiac catheterization for congenital heart defects, each distinct vessel (List separately in addition to code for primary procedure) |
| GC | This service has been performed in part by a resident under the direction of a teaching physician | 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. | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 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. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | LT | Left side (used to identify procedures performed on the left side of the body) | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2011-01-01 | Changed | Short description changed. |
| 1998-01-01 | Added | First appearance in code book in 1998. |
Get instant expert-level medical coding assistance.