2025 CPT code 92924
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedure - Percutaneous Transluminal Coronary Atherectomy Medicine Services and Procedures > Cardiovascular Procedures > Therapeutic Cardiovascular Services and Procedures Feed
Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch.
Modifiers may be applicable depending on the circumstances, such as modifier 51 (multiple procedures), 59 (distinct procedural service), or others as clinically indicated.
Medical necessity is established by the presence of significant coronary artery stenosis causing symptoms (angina, shortness of breath) or evidence of ischemia (ECG changes, reduced ejection fraction).The procedure should be justified by the clinical presentation and risk-benefit assessment.
The clinical responsibility lies with a cardiologist or interventional cardiologist. This includes pre-procedural assessment, patient preparation, performing the procedure under fluoroscopic guidance, post-procedural care, and interpretation of results.
- Medicine Services and Procedures > Cardiovascular Procedures > Therapeutic Cardiovascular Services and Procedures
- This code belongs to a family of codes (92920-92944) describing percutaneous coronary interventions (PCI).It's a base code, and there are add-on codes for additional branches or vessels treated in the same session.
In simple words: This procedure clears a blocked artery in the heart. A thin tube with a special tool is inserted into a blood vessel in the leg or arm and guided to the blocked heart artery. The tool removes the blockage, and a small balloon is inflated to widen the artery and improve blood flow.
This CPT code 92924 represents percutaneous transluminal coronary atherectomy (PTCA) with angioplasty, if performed, on a single major coronary artery or one of its branches.The procedure involves accessing the artery (usually via the femoral or brachial artery), inserting a catheter with a rotating blade or other atherectomy device to remove plaque, and inflating a balloon catheter to widen the artery.Fluoroscopic guidance is integral to the procedure.Angioplasty is included in the code when performed.
Example 1: A 65-year-old male presents with angina and a significant stenosis in the mid-segment of the left anterior descending (LAD) coronary artery.PTCA with angioplasty is performed using code 92924., A 72-year-old female with unstable angina undergoes PCI for a stenosis in the proximal right coronary artery (RCA) and a second lesion in one of its branches. Code 92924 is used for the RCA lesion, and an appropriate add-on code is used for the branch lesion. , A 58-year-old male presents with acute coronary syndrome and requires urgent PCI for a chronic total occlusion in the distal LAD.Given the complexity and the emergency nature, code 92941 (which encompasses more extensive services) might be more appropriate than 92924.
Detailed medical history, including risk factors for coronary artery disease;results of prior cardiac tests (ECG, cardiac enzymes, stress test);angiographic images clearly showing the location and severity of the stenosis;details of the procedure performed (type of atherectomy device, balloon size, stent type and size, if any);post-procedure angiographic images; and any complications encountered.
** This code should only be used when atherectomy is the primary procedure. If angioplasty alone is performed, a different code is used.Always document the rationale for performing atherectomy (e.g., calcified lesions, non-responsive to balloon angioplasty alone). This description is current as of December 3rd, 2024.Coding guidelines and reimbursement policies are subject to change.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically applicable to this code because the entire service is usually performed by the same physician.
- Specialties:Cardiology, Interventional Cardiology
- Place of Service:Cardiac Catheterization Laboratory, Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center