2025 CPT code 92933
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedures - Percutaneous transluminal coronary atherectomy Medicine Services and Procedures > Cardiovascular Procedures Feed
Percutaneous transluminal coronary atherectomy with intracoronary stent and angioplasty (if performed) for a single major coronary artery or branch.
Modifiers may be applicable depending on the circumstances of the service.Consult current modifier guidelines for specific usage instructions.
Medical necessity is established by the presence of significant coronary artery stenosis causing symptoms (e.g., angina, myocardial infarction) or hemodynamic compromise. Documentation should support the need for the intervention based on clinical presentation, angiographic findings, and risk-benefit assessment.
The procedure is performed by a cardiologist or interventional cardiologist.Responsibilities include patient preparation, arterial access, catheter navigation, atherectomy, stent deployment, angioplasty (if performed), and post-procedure care.
- Medicine Services and Procedures > Cardiovascular Procedures
- Percutaneous Coronary Interventions (PCI) codes (92920-92944)
In simple words: This code describes a procedure to open a blocked artery in the heart. A thin tube with a small blade is used to remove plaque buildup, then a small mesh tube (stent) is placed to keep the artery open.Sometimes, a balloon is also used to widen the artery.
This CPT code 92933 reports percutaneous transluminal coronary atherectomy with the placement of an intracoronary stent.Coronary angioplasty is included in the code if performed. The procedure is performed on a single major coronary artery or one of its branches.The code encompasses accessing and selectively catheterizing the vessel, traversing the lesion, radiological supervision and interpretation, closure of the arteriotomy (if applicable), and imaging to document completion.Balloon angioplasty, when performed, is included.Atherectomy techniques may include directional, rotational, or laser atherectomy. Stent types may include balloon-expandable, self-expanding, bare-metal, drug-eluting, or covered stents.
Example 1: A 65-year-old male presents with angina. Coronary angiography reveals a significant stenosis in the proximal left anterior descending artery.The physician performs a percutaneous transluminal coronary atherectomy with stent placement (92933)., A 72-year-old female with unstable angina undergoes coronary angiography showing a chronic total occlusion (CTO) in the right coronary artery. After successful CTO recanalization, the physician places a stent (92933)., A 58-year-old male experiences an acute myocardial infarction (STEMI).Emergency coronary angiography reveals a thrombus in the left circumflex artery.The physician performs mechanical thrombectomy (reported separately) and then percutaneous transluminal coronary atherectomy with stent placement (92933).
Pre-procedure assessment including patient history, physical examination, and relevant diagnostic testing (e.g., EKG, cardiac enzymes).Detailed angiographic reports with images before, during, and after the procedure, including lesion location, length, and severity.Type of atherectomy performed, stent type and size, and angioplasty details (if applicable). Post-procedure assessment and follow-up care.
** This code is for a single major coronary artery or branch.Additional branches require separate coding with add-on codes (e.g., 92934).Always adhere to the most current CPT coding guidelines for accurate billing and reimbursement.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- RVU: The RVUs for this code will vary depending on geographic location, facility type (non-facility/facility), and other factors. Consult the appropriate fee schedule for current reimbursement rates.
- Global Days: The global period is not explicitly defined for this code and would depend on the specific payer's policy.
- Payment Status: Active
- Modifier TC rule: The Technical Component (TC) modifier may apply depending on the setting and who performs the service.Consult payer-specific guidelines.
- Fee Schedule: Historical fee schedule data is not included here. Consult publicly available fee schedules from CMS or other relevant sources for historical information.
- Specialties:Cardiology, Interventional Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Cardiac Catheterization Laboratory