2025 CPT code 92934
(Active) Effective Date: N/A Revision Date: N/A Cardiology - Percutaneous Coronary Intervention (PCI) Cardiovascular System Feed
Percutaneous transluminal coronary atherectomy with intracoronary stent and angioplasty (if performed); each additional branch of a major coronary artery.
Modifiers may be applicable depending on the circumstances of the procedure and payer-specific guidelines.Consult your payer's guidelines for allowed modifiers.
Medical necessity for this procedure would be supported by documentation of significant stenosis (narrowing) in a coronary artery branch causing ischemic symptoms or significant hemodynamic compromise.The documentation should clearly demonstrate that the additional branch intervention was necessary to improve blood flow and alleviate symptoms or prevent adverse events.
The clinical responsibility for this procedure includes the interventional cardiologist or other qualified healthcare professional performing the PCI, including accessing the vessel, performing the atherectomy, stent deployment, and angioplasty.Post-procedure monitoring and patient education are also included in the clinical responsibility.
- Cardiovascular System
- Percutaneous Coronary Intervention (PCI) codes; Add-on code for additional branches.
In simple words: This code describes a procedure to clear blockages in additional branches of a major heart artery.A thin tube is inserted into the artery, plaque is removed, a small mesh tube (stent) is placed to keep the artery open, and the artery might be widened further with a balloon.
This CPT code 92934 reports percutaneous transluminal coronary atherectomy with intracoronary stent placement, and coronary angioplasty (if performed), for each additional branch of a major coronary artery.This is an add-on code and must be reported in addition to the primary procedure code for the initial vessel treated. The procedure involves accessing the additional coronary artery branch via a catheter, performing atherectomy to remove plaque, deploying an intracoronary stent, and potentially angioplasty to further widen the vessel.Distal protection devices are included if used.
Example 1: A patient presents with significant stenosis in the left anterior descending artery and two of its branches.The physician performs PCI on the main LAD artery (coded separately), and then uses 92934 to code the additional treatment of each of the two branches., A patient undergoes PCI for a chronic total occlusion of the left circumflex artery and one of its branches.The main vessel is coded using the appropriate primary code, while the additional branch is coded using 92934., A patient presents with acute myocardial infarction involving the right coronary artery and one of its branches.Appropriate coding for the primary vessel (acute MI) is used, with 92934 added to reflect the additional branch intervention performed during the same session.
Complete medical record documentation should include the indication for PCI, pre-procedure assessment including coronary angiography, procedure details (access site, specific devices used, location and extent of lesions treated), intra-procedural angiograms, post-procedure angiograms, and discharge instructions.Documentation must support medical necessity.
** Always refer to the most up-to-date CPT codebook and payer guidelines for the most accurate coding and reimbursement information.This information is for guidance only and should not be considered exhaustive or a substitute for professional medical coding advice.
- Revenue Code: Refer to your specific payer's revenue code guidelines.Revenue codes may vary based on the facility and payer.
- RVU: RVUs vary based on geographic location, facility type, and other factors.Consult the CMS website or other relevant resources for current RVU values and conversion factors.
- Global Days: The global period for this procedure is included in the primary procedure code.This add-on code does not have its own global period.
- Payment Status: Active
- Modifier TC rule: This add-on code does not have a technical component (TC) modifier associated with it.
- Fee Schedule: Historical fee schedule data is not included in this response. Fee schedules vary by location and payer. Please refer to relevant fee schedules for specific years.
- Specialties:Cardiology, Interventional Cardiology
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient or Outpatient), Cardiac Catheterization Lab