2025 CPT code 92974
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedures - Percutaneous Coronary Intervention (PCI) Add-on Codes Medicine Services and Procedures > Cardiovascular Procedures Feed
Coronary brachytherapy; transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy. This is an add-on code and must be reported with a primary procedure code.
Modifiers may apply based on the circumstances of the procedure, such as 50 (bilateral procedure), 51 (multiple procedures), or other modifiers as appropriate to the situation. Consult the official CPT manual for modifier guidelines.
Brachytherapy is medically necessary when indicated to reduce the risk of restenosis following other coronary interventions such as percutaneous transluminal coronary angioplasty (PTCA) and stenting in high-risk patients or those with a history of restenosis. Medical necessity should be documented based on clinical judgment and adherence to current clinical guidelines.
The physician or qualified healthcare professional is responsible for the pre-procedure assessment and preparation, arterial access (brachial or femoral), catheter insertion and guidance (using fluoroscopy and/or ultrasound), precise placement of the radiation delivery device, monitoring the patient's condition throughout the procedure, and post-procedure care and follow-up.The procedure may involve collaboration with other healthcare professionals, such as nurses and radiology technicians.
- Medicine Services and Procedures > Cardiovascular Procedures
- Add-on code for percutaneous coronary intervention (PCI) procedures
In simple words: This procedure uses a tiny tube (catheter) to place radioactive seeds near a blocked heart artery.The radiation helps to keep the artery open after other treatments to unblock it. This is always done along with another procedure to treat the blockage, not on its own.
This code, 92974, reports the transcatheter placement of a radiation delivery device for subsequent coronary intravascular brachytherapy.This procedure involves the placement of radioactive seeds near a blocked artery to help keep it open following other procedures like angioplasty or stenting.It is considered an add-on code, meaning it must be reported in addition to the primary procedure code (e.g., 92920-92944) for the treatment of coronary artery stenosis.The brachytherapy device is placed via catheter, usually after the initial intervention to address stenosis.The radioactive seeds are left in place for a predetermined duration before removal.
Example 1: A patient presents with significant in-stent restenosis in a previously stented left anterior descending artery. After balloon angioplasty, the physician places radioactive seeds using 92974 to reduce the risk of restenosis., A patient undergoes PCI for a chronic total occlusion of the right coronary artery. Following successful revascularization with stenting, brachytherapy (92974) is performed to enhance long-term patency., A patient presents with acute coronary syndrome and undergoes emergency PCI with stent placement in the left circumflex artery. Intravascular brachytherapy (92974) is added to improve the chances of a successful outcome in this high-risk situation.
** This add-on code should only be used when brachytherapy is performed during the same session as the primary PCI or coronary angiography procedure.Accurate documentation is crucial for proper reimbursement.
- Revenue Code: P7A (ONCOLOGY - RADIATION THERAPY)
- RVU: Refer to CMS's current relative value units (RVUs) and conversion factors for the most up-to-date reimbursement information.RVUs vary by geographical location and other factors.
- Global Days: Not applicable. This is an add-on code to a procedure with a global period.
- Payment Status: Active
- Modifier TC rule: Not applicable.This code is an add-on and does not have a technical component modifier.
- Fee Schedule: Historical fee schedule data varies by payer and location. Contact your payer for specific historical fee schedule data.
- Specialties:Cardiology, Interventional Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center