How To Use CPT Code 92941

CPT 92941 describes the percutaneous transluminal revascularization of an acute total or subtotal occlusion during an acute myocardial infarction. 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 92941?

CPT 92941 can be used to describe the percutaneous transluminal revascularization procedure performed during an acute myocardial infarction. This code is used when the provider makes an incision in the patient’s arm or leg to access the artery and inserts a catheter with a rotating blade. The provider may also use a balloon-tipped catheter to treat the blocked area of the coronary artery or coronary artery bypass graft. Additionally, the provider may insert a stent, perform atherectomy, or aspirate a thrombus during the procedure. The goal of this procedure is to restore blood flow to the recently blocked coronary artery or coronary artery bypass graft.

2. Official Description

The official description of CPT code 92941 is: ‘Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel.’

3. Procedure

1. The provider makes an incision in the patient’s arm or leg to access the artery.
2. A catheter with a rotating blade is inserted into the blocked area of the coronary artery or coronary artery bypass graft.
3. A balloon-tipped catheter may be used to treat the blocked area by inflating the balloon.
4. The provider may insert a stent to expand the narrowed walls of the vessel.
5. Atherectomy may be performed to remove plaque from the lining of the artery.
6. The provider may also aspirate a thrombus, or blood clot, if necessary.
7. The procedure aims to restore blood flow to the recently blocked coronary artery or coronary artery bypass graft.

4. Qualifying circumstances

Patients eligible for CPT 92941 are those with an acute total or subtotal occlusion during an acute myocardial infarction. The procedure is performed on the coronary artery or coronary artery bypass graft. The provider may use any combination of intracoronary stent, atherectomy, and angioplasty, including aspiration thrombectomy when necessary. This code is specific to a single vessel.

5. When to use CPT code 92941

CPT code 92941 should be used when the provider performs percutaneous transluminal revascularization during an acute myocardial infarction. It is important to note that this code is specific to a single vessel. If additional vessels are treated, other codes should be used (such as 92920-92938, 92943, or 92944).

6. Documentation requirements

To support a claim for CPT 92941, the provider must document the following information:

• Patient’s diagnosis of acute myocardial infarction and the need for percutaneous transluminal revascularization
• Specific details of the procedure performed, including the use of intracoronary stent, atherectomy, angioplasty, and aspiration thrombectomy
• Date and duration of the procedure
• Fluoroscopic images and other relevant imaging studies
• Progress made during the procedure and any complications encountered
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 92941, ensure that the procedure meets the criteria specified in the official description. It is important to accurately report the use of intracoronary stent, atherectomy, angioplasty, and aspiration thrombectomy, if performed. Additionally, be aware of any Medicare changes or specific billing requirements for this code. It is also important to consider any other services or procedures performed within the same timeframe and follow the appropriate coding guidelines.

8. Historical information

CPT 92941 was added to the Current Procedural Terminology system on January 1, 2013. It was later added to the Inpatient Only (IPO) list for Medicare in 2018.

9. Examples

1. A provider performs percutaneous transluminal revascularization during an acute myocardial infarction on a patient with a total occlusion in the left coronary artery.
2. During an acute myocardial infarction, a provider uses a combination of intracoronary stent and angioplasty to treat a subtotal occlusion in the right coronary artery.
3. A patient presents with an acute myocardial infarction and a total occlusion in a bypass graft. The provider performs percutaneous transluminal revascularization using atherectomy and aspiration thrombectomy.
4. During an acute myocardial infarction, a provider performs percutaneous transluminal revascularization on a patient with a subtotal occlusion in the left anterior descending artery, using a combination of intracoronary stent and angioplasty.
5. A provider performs percutaneous transluminal revascularization during an acute myocardial infarction on a patient with a total occlusion in the circumflex artery.
6. During an acute myocardial infarction, a provider uses a combination of intracoronary stent and atherectomy to treat a subtotal occlusion in the left coronary artery.