2025 CPT code 92928
(Active) Effective Date: N/A Medicine - Cardiovascular Procedures Feed
Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch
Modifiers may apply for specific circumstances. Consult current CPT guidelines.
Medical necessity for this procedure is established by documenting the presence of coronary artery disease causing significant stenosis or blockage, leading to symptoms such as angina, or as part of treatment for acute coronary syndrome.
The physician is responsible for the entire procedure, from prepping and anesthetizing the patient, accessing the artery, inserting and guiding the catheter, deploying the stent, and ensuring proper closure of the access site.
In simple words: This procedure opens up a blocked or narrowed heart artery by inserting a small mesh tube (stent) to keep it open. It often involves inflating a tiny balloon to widen the artery first. This is all done through a small incision in the skin, typically in the arm or groin, using a thin tube called a catheter.
This code describes a procedure where a stent is placed within a coronary artery using a catheter inserted through the skin.It includes coronary angioplasty (balloon dilation) when performed, and it is used to treat a single major coronary artery or a single branch of a major coronary artery.Major coronary arteries include the left main, left anterior descending, left circumflex, right coronary artery, and ramus intermedius. Branches are limited to two each off the left anterior descending, left circumflex, and right coronary arteries. This procedure also includes accessing and catheterizing the vessel, traversing the lesion, radiological supervision and interpretation, closure of the access site, and imaging to confirm completion.
Example 1: A patient presents with angina due to a blockage in the left anterior descending artery.A stent is placed to restore blood flow., A patient has a narrowed right coronary artery.During cardiac catheterization, a stent is deployed to treat the stenosis., A patient with a blockage in a diagonal branch of the left anterior descending artery undergoes stent placement.
Documentation must support the medical necessity of the procedure, including the patient's symptoms, diagnostic test results (e.g., angiogram), and the location and severity of the blockage.The procedure report should detail the artery treated, the type of stent used, and any complications encountered.
** Only one base code from the 92920-92944 family can be reported per vessel and its branches treated. If additional vessels are treated, use add-on codes as appropriate. For bifurcations, both vessels are reported. If a lesion bridges two vessels and is treated by a single intervention bridging both vessels, report only the main vessel code.
- Payment Status: Active
- Specialties:Interventional Cardiology, Cardiovascular Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center