How To Use CPT Code 92998

CPT 92998 describes the percutaneous transluminal pulmonary artery balloon angioplasty procedure performed on each additional vessel of the pulmonary artery. 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 92998?

CPT 92998 can be used to describe the percutaneous transluminal pulmonary artery balloon angioplasty procedure performed on each additional vessel of the pulmonary artery. This code is used when the provider inflates a balloon-tipped catheter in the blocked area of a pulmonary artery to treat stenosis in multiple vessels.

2. Official Description

The official description of CPT code 92998 is: ‘Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure).’ This code should be used in conjunction with CPT code 92997, which represents the primary procedure for balloon angioplasty in the first pulmonary artery.

3. Procedure

1. After performing balloon angioplasty in one pulmonary artery, the provider guides the catheter into the other pulmonary artery.
2. The provider injects a dye and takes angiographic images to examine the blood flow and placement of the catheter into the artery.
3. The provider advances the balloon-tipped catheter across the lesion in the pulmonary artery and inflates the balloon.
4. The inflated balloon flattens the plaque against the artery wall, widening the lumen and improving blood flow.
5. The provider removes all the equipment, stops the bleeding, and closes the incisions.

4. Qualifying circumstances

CPT 92998 is used when the provider performs percutaneous transluminal pulmonary artery balloon angioplasty on each additional vessel of the pulmonary artery. This procedure is typically performed on patients with stenosis in multiple vessels of the pulmonary artery.

5. When to use CPT code 92998

CPT code 92998 should be used when the provider performs percutaneous transluminal pulmonary artery balloon angioplasty on each additional vessel of the pulmonary artery. It should only be reported in addition to the primary procedure code, CPT code 92997, which represents the balloon angioplasty in the first pulmonary artery.

6. Documentation requirements

To support a claim for CPT code 92998, the provider must document the following information:

• Performance of balloon angioplasty in the first pulmonary artery (CPT code 92997)
• Performance of percutaneous transluminal pulmonary artery balloon angioplasty on each additional vessel
• Date and time of the procedure
• Details of the vessels treated
• Any complications or adverse events
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 92998, ensure that the primary procedure code, CPT code 92997, is also reported. This is an add-on code, so it should not be reported without the primary code. Payers may not reimburse for CPT code 92998 if it is reported without the appropriate primary code.

8. Historical information

CPT code 92998 was added to the Current Procedural Terminology system on January 1, 1998. There have been no updates to the code since its addition.

9. Examples

1. A provider performs percutaneous transluminal pulmonary artery balloon angioplasty on the first vessel and each additional vessel of a patient with pulmonary artery stenosis.
2. During a procedure, the provider performs balloon angioplasty in the first pulmonary artery and then proceeds to perform percutaneous transluminal pulmonary artery balloon angioplasty on each additional vessel.
3. A patient with multiple stenosed vessels in the pulmonary artery undergoes percutaneous transluminal pulmonary artery balloon angioplasty on each vessel during a single procedure.
4. After performing balloon angioplasty in the first pulmonary artery, the provider continues the procedure by performing percutaneous transluminal pulmonary artery balloon angioplasty on each additional vessel.
5. A provider performs percutaneous transluminal pulmonary artery balloon angioplasty on the first vessel and then proceeds to treat each additional vessel of the pulmonary artery.
6. During a procedure, the provider performs balloon angioplasty in the first pulmonary artery and then performs percutaneous transluminal pulmonary artery balloon angioplasty on each additional vessel to improve blood flow.
7. A patient with stenosis in multiple vessels of the pulmonary artery undergoes percutaneous transluminal pulmonary artery balloon angioplasty on each vessel during a single procedure.
8. After performing balloon angioplasty in the first pulmonary artery, the provider proceeds to perform percutaneous transluminal pulmonary artery balloon angioplasty on each additional vessel to alleviate stenosis.
9. A provider performs percutaneous transluminal pulmonary artery balloon angioplasty on the first vessel and then treats each additional vessel of the pulmonary artery to restore proper blood flow.
10. During a procedure, the provider performs balloon angioplasty in the first pulmonary artery and then proceeds to perform percutaneous transluminal pulmonary artery balloon angioplasty on each additional vessel to address stenosis.