How To Use CPT Code 92975

CPT 92975 describes the procedure of thrombolysis, coronary, by intracoronary infusion, including selective coronary angiography. 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 92975?

CPT 92975 can be used to describe the procedure of thrombolysis, coronary, by intracoronary infusion, including selective coronary angiography. This code is used when a healthcare provider breaks down a blood clot in the coronary artery by infusing a thrombolytic agent, such as urokinase, into the affected artery through a catheter.

2. Official Description

The official description of CPT code 92975 is: ‘Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography.’

3. Procedure

1. The healthcare provider prepares the patient and administers anesthesia.
2. An incision is made in the brachial or femoral artery, and a guide wire is inserted through it.
3. A catheter is advanced over the guide wire to perform imaging of the coronary arteries.
4. A thrombolytic agent, such as urokinase, is infused into the affected artery through the catheter.
5. The thrombolytic agent breaks down and dissolves the blood clot.
6. All equipment is removed, bleeding is stopped, and the wound is closed in layers.

4. Qualifying circumstances

Patients eligible for CPT 92975 are those experiencing a myocardial infarction (heart attack) and require thrombolysis to break down a blood clot in the coronary artery. The procedure is performed by a healthcare provider using intracoronary infusion of a thrombolytic agent, such as urokinase.

5. When to use CPT code 92975

CPT code 92975 should be used when a healthcare provider performs thrombolysis, coronary, by intracoronary infusion, including selective coronary angiography. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 92975, the healthcare provider must document the following information:

• Patient’s diagnosis and indication for thrombolysis
• Details of the procedure, including the use of intracoronary infusion and selective coronary angiography
• Specific thrombolytic agent used, such as urokinase
• Date and duration of the procedure
• Any complications or adverse events
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 92975, ensure that the procedure meets the specific criteria outlined in the code description. It is important to follow the appropriate coding guidelines and modifiers, if applicable. Additionally, consider any specific billing requirements from insurance payers or government programs.

8. Historical information

CPT 92975 was added to the Current Procedural Terminology system on January 1, 1990. It was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A healthcare provider performs thrombolysis, coronary, by intracoronary infusion, including selective coronary angiography, on a patient experiencing a myocardial infarction.
2. During the procedure, the healthcare provider infuses urokinase into the affected artery to dissolve the blood clot.
3. The patient’s condition improves after the thrombolysis procedure, and they are monitored for any complications.
4. Another healthcare provider performs thrombolysis, coronary, by intracoronary infusion, including selective coronary angiography, on a different patient with a myocardial infarction.
5. In this case, a different thrombolytic agent, such as alteplase, is used for the procedure.
6. The patient’s blood clot is successfully dissolved, and they are closely monitored for any adverse events.
7. A third patient undergoes thrombolysis, coronary, by intracoronary infusion, including selective coronary angiography, for a myocardial infarction.
8. The healthcare provider uses urokinase to break down the blood clot in the coronary artery.
9. The patient’s condition stabilizes after the procedure, and they are observed for any potential complications.
10. Another healthcare provider performs thrombolysis, coronary, by intracoronary infusion, including selective coronary angiography, on a patient with a myocardial infarction.
11. In this case, the thrombolytic agent used is reteplase.
12. The patient’s blood clot is successfully dissolved, and they are closely monitored for any adverse reactions.