How To Use CPT Code 92970

CPT 92970 describes a procedure that assists in enhancing the patient’s circulation by inserting a balloon-tipped catheter into the aorta. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92970?

CPT 92970 can be used to describe a procedure where a provider assists in improving the patient’s circulation by inserting a catheter with a balloon into the aorta. This helps enhance the oxygen supply to the heart and prevents blood clotting within the vessels.

2. Official Description

The official description of CPT code 92970 is: ‘Cardioassist-method of circulatory assist; internal.’

3. Procedure

  1. The patient is appropriately prepped and anesthetized.
  2. The provider makes an incision in the femoral artery.
  3. A catheter with a balloon fitted at one end is inserted into the aorta.
  4. A balloon driver is used to inflate and deflate the balloon repeatedly, dilating the blood vessels and improving oxygen supply to the heart.
  5. The provider removes all equipment, ensures bleeding stops, and closes the wound in layers.

4. Qualifying circumstances

CPT 92970 is performed on patients who require assistance in enhancing their circulation. This procedure is typically used for patients with conditions that affect blood flow to the heart. The provider must insert the catheter with the balloon into the patient’s aorta to improve oxygen supply and prevent clotting.

5. When to use CPT code 92970

CPT code 92970 should be used when a provider performs the cardioassist procedure by inserting a balloon-tipped catheter into the patient’s aorta. This code is appropriate for cases where the patient’s circulation needs enhancement.

6. Documentation requirements

To support a claim for CPT 92970, the provider must document the following information:

  • Patient’s diagnosis and the need for the cardioassist procedure
  • Details of the procedure, including the insertion of the catheter with the balloon into the aorta
  • Date and time of the procedure
  • Any complications or additional measures taken during the procedure
  • Confirmation of bleeding cessation and wound closure
  • Provider’s signature

7. Billing guidelines

When billing for CPT 92970, ensure that the procedure is performed by a qualified provider and that the documentation supports the need for the cardioassist procedure. It is important to follow the specific guidelines set by Medicare and private payers for reporting this code. Consider using code G0166 for Medicare carriers, while private payers may require reporting of CPT 92970.

8. Historical information

CPT 92970 was added to the Current Procedural Terminology system on January 1, 1990. In 2017, it was added under the Inpatient Only (IPO) list for Medicare.

9. Examples

  1. A provider performing the cardioassist procedure by inserting a balloon-tipped catheter into the aorta to enhance circulation in a patient with coronary artery disease.
  2. A cardiologist performing the cardioassist procedure on a patient with heart failure to improve oxygen supply to the heart.
  3. An interventional radiologist inserting a catheter with a balloon into the aorta to assist in circulation for a patient undergoing a complex cardiac procedure.
  4. A cardiovascular surgeon performing the cardioassist procedure during a coronary artery bypass graft surgery to ensure optimal blood flow to the heart.
  5. An anesthesiologist assisting in the cardioassist procedure for a patient undergoing a high-risk cardiac procedure to maintain stable circulation.
  6. A cardiac nurse assisting the provider during the cardioassist procedure by monitoring the patient’s vital signs and balloon inflation/deflation.
  7. A cardiac catheterization lab technician preparing the equipment and assisting the provider during the cardioassist procedure.
  8. A cardiovascular perfusionist managing the extracorporeal circulation during the cardioassist procedure for a patient undergoing a complex cardiac surgery.
  9. A cardiac electrophysiologist performing the cardioassist procedure on a patient with arrhythmias to improve blood flow to the heart.
  10. A cardiac rehabilitation specialist assisting in the cardioassist procedure for a patient recovering from a heart attack to enhance their cardiac function.

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