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2025 CPT code 92941

Percutaneous transluminal revascularization of an acute total/subtotal occlusion during an acute myocardial infarction, coronary artery or coronary artery bypass graft, using any combination of intracoronary stent, atherectomy, and angioplasty, including aspiration thrombectomy when performed, single vessel.

This code is specific for acute MI interventions with total or subtotal occlusion. It includes aspiration thrombectomy when performed, but mechanical thrombectomy (92973) is reported separately. Diagnostic angiography may be separately reportable under specific circumstances (documented change in condition, inadequate visualization, or new clinical evaluation outside the target area).For additional vessels treated, use add-on codes 92920-92938, 92943, 92944 as appropriate.

Modifiers may be applicable. Refer to current CPT guidelines for appropriate usage.

Medical necessity for this procedure requires documentation of an acute myocardial infarction with a total or subtotal occlusion in a coronary artery or bypass graft requiring immediate intervention.

In simple words: This procedure opens a blocked artery in the heart during a heart attack.A small incision is made in the arm or leg, and a thin tube (catheter) is inserted to reach the blockage.The doctor may use a balloon, stent, or other tools to clear the blockage and restore blood flow. This procedure is done on a single blocked vessel.

This code describes a percutaneous coronary intervention (PCI) performed during an acute myocardial infarction (AMI) to treat a total or subtotal occlusion in a coronary artery or coronary artery bypass graft.The procedure may involve any combination of stenting, atherectomy, and angioplasty, and includes aspiration thrombectomy when performed.This code is for a single vessel treatment.

Example 1: A patient presents with STEMI and is taken directly to the cath lab. Angiography reveals a total occlusion of the left anterior descending artery. PCI is performed with stent placement, including aspiration thrombectomy. Report 92941., A patient presents to the ED with NSTEMI and is stabilized in the ICU. The next day, during a planned cardiac catheterization, a subtotal occlusion of the right coronary artery is found. PCI is performed with balloon angioplasty. Report the appropriate PCI code for a non-acute intervention, not 92941, as this scenario doesn't involve an acute intervention during an acute MI., A patient with a history of CABG presents with STEMI. Angiography reveals a total occlusion in a previous bypass graft to the left circumflex artery. PCI is performed with atherectomy and stent placement within the graft. Report 92943 for the intervention on the bypass graft.

Documentation should clearly indicate the diagnosis of acute myocardial infarction, the presence of a total/subtotal occlusion, the vessel(s) treated, and the specific interventions performed (stenting, atherectomy, angioplasty, aspiration thrombectomy).The documentation must also support the medical necessity for the procedure.

** For transcatheter intra-arterial hyperoxemic reperfusion/supersaturated oxygen therapy (SSO2), use 0659T.

  • Modifier TC rule: Information not available in provided context.
  • Specialties:Cardiology, Interventional Cardiology
  • Place of Service:Inpatient Hospital, Outpatient Hospital
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