How To Use CPT Code 92934

CPT 92934 describes the percutaneous transluminal coronary atherectomy procedure with intracoronary stent placement and possible angioplasty for each additional branch of a major coronary artery. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92934?

CPT 92934 can be used to describe a specific procedure performed by a healthcare provider. This procedure involves the use of a catheter with a rotating blade to remove plaque from the lining of a major coronary artery. Additionally, the provider may also perform intracoronary stent placement and angioplasty to treat stenosis in the artery. This code is used specifically for each additional branch of a major coronary artery that requires the procedure.

2. Official Description

The official description of CPT code 92934 is: ‘Percutaneous transluminal coronary atherectomy, with intracoronary stent, 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 primary codes for the repair procedure on a single major coronary artery.

3. Procedure

1. During the procedure, the healthcare 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 positioned 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.
5. A catheter with a burr or other blade is advanced into the coronary vessel to remove the material blocking the artery.
6. A balloon-tipped catheter is inserted into the stenosed area and inflated to flatten the plaque against the artery wall.
7. A balloon-mounted catheter with a stent is then inserted to the stenosed site and expanded to fit the stent onto the wall of the artery.
8. If necessary, the provider may also perform angioplasty to widen the vessel.
9. Finally, all equipment is removed, hemostasis is achieved, and the wound is closed.

4. Qualifying circumstances

CPT 92934 is used for patients who require percutaneous transluminal coronary atherectomy, intracoronary stent placement, and possible angioplasty on each additional branch of a major coronary artery. This procedure is typically performed on patients with stenosis in their coronary arteries. The provider must gain access to an additional branch of a major coronary artery during the same session as the primary procedure. The patient must be appropriately prepped and anesthetized for the procedure.

5. When to use CPT code 92934

CPT code 92934 should be used when the provider performs percutaneous transluminal coronary atherectomy, intracoronary stent placement, and possible angioplasty on each additional branch of a major coronary artery. This code is used in addition to the primary codes for the repair procedure on a single major coronary artery. It is important to note that this code is an add-on code and should not be reported without one of the appropriate primary codes.

6. Documentation requirements

To support a claim for CPT 92934, the healthcare provider must document the following information:

• Specific details of the procedure performed, including percutaneous transluminal coronary atherectomy, intracoronary stent placement, and possible angioplasty
• Identification of each additional branch of a major coronary artery that required the procedure
• Date and duration of the procedure
• Fluoroscopic images and other diagnostic findings
• Details of any complications or additional interventions
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 92934, ensure that the procedure is performed on each additional branch of a major coronary artery. This code should be reported in addition to the primary codes for the repair procedure on a single major coronary artery. It is important to note that this is an add-on code and should not be reported without one of the appropriate primary codes. Pay close attention to the guidelines provided by payers to ensure accurate billing and reimbursement.

8. Historical information

CPT 92934 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 percutaneous transluminal coronary atherectomy, intracoronary stent placement, and possible angioplasty on an additional branch of a major coronary artery to treat stenosis.
2. During the same session as the primary procedure, the provider gains access to an additional branch of a major coronary artery and performs the necessary interventions.
3. Using fluoroscopy and other diagnostic tools, the provider ensures proper placement of the catheters and stent.
4. The provider successfully removes plaque, inflates a balloon-tipped catheter, and places a stent to open the narrowed artery.