Summary & Overview
CPT 92941: Percutaneous Coronary Revascularization During Acute Myocardial Infarction
CPT code 92941 is a critical billing code for percutaneous coronary intervention performed during an acute myocardial infarction, specifically addressing acute total or subtotal occlusions in a single coronary vessel. This procedure is essential in emergency cardiovascular care, often involving stent placement, atherectomy, angioplasty, and aspiration thrombectomy. The code is widely recognized across major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare, ensuring broad coverage for patients requiring urgent revascularization.
This publication provides a comprehensive overview of 92941, including its clinical context, typical hospital outpatient settings, and its role in acute cardiac care. Readers will gain insights into payer coverage, relevant policy updates, and benchmarks for this high-impact cardiovascular procedure. The summary also highlights associated modifiers, taxonomies, and related CPT codes, offering a clear understanding of how 92941 fits within the broader landscape of interventional cardiology billing and coding. The information is designed to support healthcare professionals, administrators, and policy analysts in navigating the complexities of coding and reimbursement for acute myocardial infarction interventions.
CPT Code Overview
CPT code 92941 represents a percutaneous transluminal revascularization procedure performed during an acute myocardial infarction. This intervention targets acute total or subtotal occlusions in a coronary artery or coronary artery bypass graft. The procedure may involve any combination of intracoronary stent placement, atherectomy, angioplasty, and aspiration thrombectomy when performed, and is coded for a single vessel.
Service Type: Cardiovascular – Percutaneous Coronary Intervention
Typical Site of Service: Hospital Outpatient settings, such as outpatient catheterization laboratories (POS 22).
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult presenting to the hospital outpatient setting, such as an outpatient catheterization laboratory, with symptoms of an acute myocardial infarction (heart attack). The patient is diagnosed with a ST elevation myocardial infarction (STEMI) involving a specific coronary artery. The interventional cardiology team performs a percutaneous transluminal revascularization to treat an acute total or subtotal occlusion in a single coronary vessel. The procedure may include intracoronary stent placement, atherectomy, angioplasty, and aspiration thrombectomy if needed. The goal is to restore blood flow and minimize heart muscle damage during the acute event.
Coding Specifications
Common Modifiers:
| Modifier Code | Description | When to Use |
|---|---|---|
LD | Left Anterior Descending coronary artery | Procedure performed on the left anterior descending artery |
LC | Left Circumflex coronary artery | Procedure performed on the left circumflex artery |