How To Use CPT Code 92929

CPT 92929 describes the percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, for each additional branch of a major coronary artery. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92929?

CPT 92929 can be used to describe a procedure in which a provider places a stent in an additional branch of a major coronary artery, using a percutaneous transcatheter approach. This procedure may also involve coronary angioplasty, which is the widening of a narrowed blood vessel using a balloon catheter. CPT 92929 is an add-on code that should be used in conjunction with a primary code for the repair procedure on a single major coronary artery.

2. Official Description

The official description of CPT code 92929 is: ‘Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure).’ This code should be used in conjunction with the appropriate primary code for the repair procedure on a single major coronary artery.

3. Procedure

1. During the procedure, the provider gains access to an additional branch of a major coronary artery.
2. The provider makes an incision into the brachial or femoral artery and inserts a guide wire through it.
3. A guide catheter is then inserted over the guide wire, and the provider positions it at the opening into the coronary artery.
4. The provider injects a dye and takes fluoroscopic images to examine the blood flow and placement of the catheter into the artery.
5. A balloon-tipped catheter is advanced into the stenosed area and inflated to flatten the plaque against the artery wall.
6. A balloon-mounted catheter with a stent is then inserted into the stenosed site.
7. The balloon expands, fitting the stent onto the wall of the artery and keeping it open.
8. If necessary, the provider may also perform angioplasty to widen the vessel.
9. Finally, the provider removes all equipment, achieves hemostasis, and closes the wound.

4. Qualifying circumstances

CPT 92929 is used when the provider places a stent in an additional branch of a major coronary artery. This procedure is performed on patients with stenosis, which is the narrowing of a blood vessel. The patient must have a single major coronary artery repair procedure, for which CPT 92929 is an add-on code. The provider must use a percutaneous transcatheter approach and may also perform coronary angioplasty.

5. When to use CPT code 92929

CPT code 92929 should be used when the provider is placing a stent in an additional branch of a major coronary artery, in conjunction with a primary code for the repair procedure on a single major coronary artery. This code is used to indicate the additional work performed on the additional branch of the artery.

6. Documentation requirements

To support a claim for CPT 92929, the provider must document the following information:

• Details of the primary procedure performed on a single major coronary artery
• Specific branch of the major coronary artery in which the stent was placed
• Procedure details, including the approach used (percutaneous transcatheter), access site (brachial or femoral artery), and use of guide wire and guide catheter
• Fluoroscopic images showing the placement of the catheter and stent
• Details of any additional procedures performed, such as angioplasty
• Documentation of achieving hemostasis and wound closure

7. Billing guidelines

When billing for CPT 92929, ensure that the procedure meets the qualifying circumstances and is performed in conjunction with a primary code for the repair procedure on a single major coronary artery. This is an add-on code and should not be reported without the appropriate primary code. It is important to follow payer guidelines and include any necessary modifiers when reporting this code.

8. Historical information

CPT 92929 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 provider places a stent in an additional branch of a major coronary artery during a percutaneous transcatheter procedure for a patient with stenosis.
2. During a repair procedure on a single major coronary artery, the provider also performs coronary angioplasty and places a stent in an additional branch of the artery.
3. A patient undergoes a percutaneous transcatheter procedure in which a stent is placed in an additional branch of a major coronary artery, along with angioplasty.