2025 CPT code 92929
(Active) Effective Date: N/A Therapeutic Services and Procedures - Cardiovascular Procedures Medicine Feed
Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery.
Modifiers may be applicable to this code. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity for this procedure must be supported by documentation of significant stenosis or blockage in the branch of the major coronary artery, impacting blood flow to the heart muscle. This may include symptoms such as angina, positive stress test results, or evidence of ischemia on other cardiac imaging.
The physician performing this procedure is responsible for all aspects of the intervention, including accessing the vascular system, deploying the stent, and ensuring proper placement.This includes pre-procedural planning, patient education and consent, intraprocedural monitoring, and post-procedural care.
In simple words: This procedure involves placing a small, expandable mesh tube called a stent into a branch of a heart artery to keep it open and improve blood flow. This is done through a small incision in the skin, typically in the groin or arm, using a thin tube called a catheter. The procedure also often includes angioplasty, where a balloon is inflated to widen the narrowed artery. This additional stent placement happens during the same procedure where a stent was already placed in another part of the heart artery.
This code describes the placement of an additional intracoronary stent in a branch of a major coronary artery during a percutaneous coronary intervention (PCI). It includes coronary angioplasty when performed and is reported in addition to the primary PCI procedure code.This procedure involves accessing the coronary artery through a catheter, traversing the lesion, deploying and expanding the stent, and confirming placement with imaging. It includes all work associated with accessing and selectively catheterizing the vessel, traversing the lesion, radiological supervision and interpretation, and closure of the arteriotomy.
Example 1: A patient presents with multi-vessel coronary artery disease. During a cardiac catheterization, the physician performs angioplasty and stenting of the left anterior descending artery (LAD).An additional stent is then placed in a diagonal branch of the LAD. 92929 would be reported in addition to the primary stent code for the LAD., A patient with a prior stent in the right coronary artery (RCA) develops a new lesion in a branch of the RCA. During a repeat catheterization, angioplasty and stenting are performed in the branch vessel. 92929 is reported in addition to the code for the primary procedure., A patient is undergoing PCI for a blockage in the left circumflex artery (LCX).In addition to the LCX intervention, a stent is placed in a marginal branch off the LCX. Code 92929 would be reported for the marginal branch stenting, in addition to the base code for the LCX intervention.
Documentation should include details of the primary PCI procedure, the specific location and size of the additional stent placed, the type of stent used (e.g., drug-eluting, bare metal), any complications encountered, and post-procedural angiography results.
** This code describes a procedure performed percutaneously, through the skin, using catheter-based techniques. It is not used for open surgical procedures.
- Revenue Code: P2F
- Specialties:Interventional Cardiology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, and other places of service where PCI is performed.