2025 CPT code 92987
Effective Date: N/A Medicine Services and Procedures > Cardiovascular Procedures Feed
Percutaneous balloon valvuloplasty of the mitral valve.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (modifier 22) or multiple procedures (modifier 51). Refer to current CPT coding guidelines.
Medical necessity is established by documenting the patient's symptoms (e.g., shortness of breath, chest pain, fatigue), evidence of mitral stenosis through diagnostic tests like echocardiography, and the clinical rationale for choosing percutaneous balloon valvuloplasty over other treatment options.
The physician is responsible for prepping and anesthetizing the patient, inserting and guiding the catheter to the heart, inflating the balloon to open the valve, removing the equipment, managing bleeding, and closing the incision site.
In simple words: This procedure opens a narrowed heart valve using a balloon. A small tube with a balloon on the end is inserted into a blood vessel in the groin and guided to the heart. The balloon is then inflated to widen the valve, improving blood flow.
This procedure involves opening a narrowed mitral valve using a balloon catheter. The physician inserts a catheter with a balloon at the tip into a blood vessel, typically in the groin area. Guided by imaging, the catheter is advanced to the heart and positioned across the stenotic mitral valve. Inflation of the balloon separates the valve leaflets, widening the opening and improving blood flow. The procedure is performed under anesthesia.
Example 1: A patient with symptomatic mitral valve stenosis, where the valve is narrowed and obstructing blood flow, undergoes percutaneous balloon valvuloplasty to improve valve function and alleviate symptoms., A patient with rheumatic heart disease resulting in mitral stenosis undergoes percutaneous balloon valvuloplasty to relieve symptoms like shortness of breath and chest pain., A patient with congenital mitral stenosis who is not a suitable candidate for open-heart surgery undergoes percutaneous balloon valvuloplasty as a less invasive alternative.
Documentation should include details about the patient's medical history, the severity of mitral stenosis (e.g., echocardiogram findings), informed consent, procedural details (balloon size, inflation pressures), and post-procedural outcomes.
- Specialties:Interventional cardiology, cardiovascular surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center