How To Use CPT Code 92987

CPT 92987 describes the percutaneous balloon valvuloplasty procedure for the mitral valve. 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 92987?

CPT 92987 can be used to describe the percutaneous balloon valvuloplasty procedure performed on the mitral valve. This code is used when a provider uses a balloon catheter to open a stenotic mitral valve, allowing blood to flow more freely.

2. Official Description

The official description of CPT code 92987 is: ‘Percutaneous balloon valvuloplasty; mitral valve.’

3. Procedure

1. During the percutaneous balloon valvuloplasty procedure, the provider begins by preparing and anesthetizing the patient.
2. The provider then makes an incision in the skin over the femoral vein and inserts a needle attached to a guidewire into the vein.
3. Under image guidance, the provider advances a catheter over the guidewire to the right atrium and across the interatrial septum.
4. The provider crosses the mitral valve with a balloon catheter and obtains angiographic images.
5. The balloon is then inflated to separate the fused mitral valve commissures (leaflets) and reduce the mitral valve stenosis.
6. Finally, the provider removes all the equipment, stops the bleeding, and closes the incisions.

4. Qualifying circumstances

Patients eligible for CPT 92987 are those with a stenotic mitral valve that requires treatment. The procedure is performed by a provider who is experienced in percutaneous balloon valvuloplasty. The patient must be appropriately prepped and anesthetized before the procedure.

5. When to use CPT code 92987

CPT code 92987 should be used when a provider performs percutaneous balloon valvuloplasty specifically on the mitral valve. If the procedure is performed on the aortic valve, use CPT code 92986. For valvuloplasty of the pulmonary valve, use CPT code 92990.

6. Documentation requirements

To support a claim for CPT 92987, the provider must document the following information:

• Patient’s diagnosis indicating the need for mitral valve valvuloplasty
• Details of the procedure, including the use of a balloon catheter and angiographic images
• Date and duration of the procedure
• Any complications or additional interventions performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 92987, ensure that the procedure is performed on the mitral valve and that the documentation supports the use of a balloon catheter. It is important to follow the specific guidelines for reporting valvuloplasty procedures and to use the appropriate CPT code based on the valve being treated.

8. Historical information

CPT 92987 was added to the Current Procedural Terminology system on January 1, 1996. There have been no updates to the code since its addition.

9. Examples

1. A provider performs percutaneous balloon valvuloplasty on a patient with severe mitral valve stenosis.
2. During the procedure, the provider successfully opens the stenotic mitral valve using a balloon catheter.
3. A patient with mitral valve stenosis undergoes percutaneous balloon valvuloplasty to improve blood flow.
4. The provider performs the procedure on the mitral valve of a patient with a history of mitral valve stenosis.
5. Using a balloon catheter, the provider performs percutaneous balloon valvuloplasty on a patient with a severely stenotic mitral valve.
6. A provider performs percutaneous balloon valvuloplasty on a patient with a narrowed mitral valve.
7. During the procedure, the provider successfully opens the stenotic mitral valve using a balloon catheter.
8. A patient with mitral valve stenosis undergoes percutaneous balloon valvuloplasty to improve blood flow.
9. The provider performs the procedure on the mitral valve of a patient with a history of mitral valve stenosis.
10. Using a balloon catheter, the provider performs percutaneous balloon valvuloplasty on a patient with a severely stenotic mitral valve.