2025 CPT code 92975
(Active) Effective Date: N/A Revision Date: N/A Procedure - Percutaneous Coronary Intervention (PCI) Cardiovascular System Feed
Thrombolysis, coronary; by intracoronary infusion, including selective coronary angiography.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 22 for increased procedural services, 59 for distinct procedural service, etc.).Consult the CPT manual and local payer guidelines for more specific rules on modifier application.
Medical necessity for intracoronary thrombolysis is established when a patient presents with acute myocardial infarction (STEMI or NSTEMI) and significant coronary artery occlusion is confirmed by angiography. Timely restoration of blood flow to the ischemic myocardium is crucial to limit infarct size and improve patient outcome.This procedure is usually time-sensitive.
The cardiologist or interventional cardiologist is responsible for performing this procedure.This involves accessing the coronary artery (usually through the femoral or radial artery), administering the thrombolytic agent, and monitoring the patient's response. Post-procedure care and follow up are also under the clinical responsibility of the physician.
In simple words: This medical code describes a procedure where a doctor uses a thin tube to inject medicine directly into a blocked heart artery to dissolve a blood clot causing a heart attack.The doctor uses imaging to guide the process.
This CPT code encompasses the procedure of intracoronary thrombolysis, which involves the infusion of thrombolytic agents directly into the coronary artery to dissolve blood clots.The procedure includes selective coronary angiography to visualize the coronary arteries and guide the infusion. This method is typically employed in cases of acute myocardial infarction (heart attack) to restore blood flow to the affected heart muscle.
Example 1: A 65-year-old male presents to the emergency room with chest pain and symptoms consistent with an acute myocardial infarction.Coronary angiography reveals a significant thrombus occluding the left anterior descending artery.Intracoronary thrombolysis with urokinase is administered via catheterization, resulting in restoration of blood flow., A 72-year-old female experiences an acute myocardial infarction.Initial EKG and cardiac enzymes confirm the diagnosis.Emergency coronary angiography shows a large thrombus obstructing the right coronary artery.Intracoronary thrombolysis is performed immediately, with the use of a specific thrombolytic agent, and followed by post-thrombolysis angiography., A 58-year-old male arrives at the hospital experiencing symptoms suggestive of a heart attack. Diagnostic coronary angiography is performed, followed by selective coronary angiography and intracoronary thrombolysis to treat a proximal LAD occlusion.Post-procedure angiography is used to verify the restoration of coronary artery flow.
Complete medical history, including risk factors for coronary artery disease.Detailed description of symptoms leading to the procedure, including the timing and nature of chest pain.Results of EKG and cardiac enzyme tests.Pre-procedure and post-procedure coronary angiograms with detailed documentation of the location, size, and extent of the thrombus.Type and dosage of the thrombolytic agent used.Any complications encountered during the procedure.Post-procedure vital signs and assessment.Discharge instructions and follow-up plan.
** This procedure is typically performed in a cardiac catheterization laboratory under fluoroscopic guidance.The choice of thrombolytic agent and the duration of infusion depend on the clinical judgment of the physician and the patient's response to treatment.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically applicable to this code as the entire service is considered the professional component.
- Specialties:Cardiology, Interventional Cardiology
- Place of Service:Emergency Room - Hospital, Cardiac Catheterization Laboratory, Inpatient Hospital