How To Use CPT Code 92924

CPT 92924 describes a percutaneous transluminal coronary atherectomy procedure, which involves the use of a catheter with a rotating blade and a balloon-tipped catheter to treat stenosis in a single major coronary artery or branch. This article will provide an overview of CPT 92924, including its official description, the procedure involved, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92924?

CPT 92924 is used to describe a percutaneous transluminal coronary atherectomy procedure, which is performed to treat stenosis in a single major coronary artery or branch. During this procedure, a qualified healthcare provider inserts a catheter with a rotating blade into the blocked area of the coronary artery. Additionally, a balloon-tipped catheter may be used to further treat the stenosis. This code should be used when the procedure is performed on a single major coronary artery or branch.

2. Official Description

The official description of CPT code 92924 is: ‘Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch.’

3. Procedure

1. The healthcare provider prepares the patient for the procedure and administers anesthesia.
2. An incision is made in the brachial or femoral artery, and a guide wire is inserted through the incision.
3. A guide catheter is then inserted over the guide wire and advanced through the vascular system to the opening of the coronary artery.
4. The provider injects a dye and uses fluoroscopy to visualize the blood flow and the placement of the catheter in the artery.
5. A catheter with a rotating blade is advanced into the coronary vessel to remove the material blocking the artery.
6. A balloon-tipped catheter is also inserted into the stenosed area and inflated to flatten the plaque against the artery wall, restoring blood flow.
7. If necessary, the provider may also perform an angioplasty to widen the vessel.
8. After the procedure, all equipment is removed, hemostasis is achieved, and the incision is closed.

4. Qualifying circumstances

CPT 92924 is performed on patients with stenosis in a single major coronary artery or branch. The procedure is typically performed by a qualified healthcare provider who has the necessary training and expertise. It is important to note that this code should only be used when the procedure is performed on a single major coronary artery or branch.

5. When to use CPT code 92924

CPT code 92924 should be used when a percutaneous transluminal coronary atherectomy procedure is performed on a single major coronary artery or branch. It is important to ensure that the procedure meets the specific criteria outlined in the official description of the code. If the procedure involves multiple major coronary arteries or branches, a different code should be used.

6. Documentation requirements

To support a claim for CPT 92924, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for the procedure
• Specific details of the procedure performed, including the use of a rotating blade and a balloon-tipped catheter
• Date and duration of the procedure
• Fluoroscopic images showing the placement of the catheter and the blood flow
• Any additional procedures performed, such as angioplasty
• Details of the closure of the incision and achievement of hemostasis
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 92924, it is important to ensure that the procedure meets the specific criteria outlined in the official description of the code. Additionally, it is important to follow any specific billing guidelines provided by the payer. It is also important to note that angioplasty is included in this code and should not be reported separately when performed during the same session.

8. Historical information

CPT 92924 was added to the Current Procedural Terminology system on January 1, 2013. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider performs a percutaneous transluminal coronary atherectomy procedure with coronary angioplasty on a patient with stenosis in a single major coronary artery.
2. During a cardiac catheterization procedure, a qualified healthcare provider performs a percutaneous transluminal coronary atherectomy with coronary angioplasty on a patient with stenosis in a single branch of a major coronary artery.
3. A patient with stenosis in a single major coronary artery undergoes a percutaneous transluminal coronary atherectomy procedure with coronary angioplasty performed by a qualified healthcare provider.
4. During a cardiac intervention, a healthcare provider performs a percutaneous transluminal coronary atherectomy with coronary angioplasty on a patient with stenosis in a single major coronary artery.
5. A qualified healthcare provider performs a percutaneous transluminal coronary atherectomy procedure with coronary angioplasty on a patient with stenosis in a single branch of a major coronary artery.