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    v1.0.28
    OpenPayerBilling CodesCardiac Risk Assessment Through Non Invasive Procedures with/without CT HeartCPT cpt-0992t-perivascular-fat-analysis-cardiac-risk-assessment
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    CPT 0992T: Perivascular Fat Analysis for Cardiac Risk Assessment

    CPT code 0992T describes a noninvasive cardiac risk assessment that uses specialized software to analyze perivascular fat from imaging data, integrates the patient’s clinical information, and produces an interpreted report by a qualified healthcare professional; the service is a diagnostic imaging analysis typically performed as an outpatient or ambulatory imaging service and is not performed concurrently with a cardiac computed tomography service.

    For related coverage guidance, see recent payer policy updates: Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA), Cardiovascular Disease Risk Assessment, Biomarkers for Myocardial Infarction and Chronic Heart Failure.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old male with hypertension, hyperlipidemia, and stable chest discomfort is referred for noninvasive cardiovascular risk stratification. The patient previously underwent a coronary computed tomography angiography (CCTA) for chest pain evaluation; the acquired cardiac CT or other suitable CT angiographic images are processed with specialized software to analyze perivascular adipose tissue characteristics and derive a risk assessment for coronary inflammation and adverse cardiac events. A qualified imaging specialist (cardiologist or radiologist) integrates the patient’s clinical history, medication profile, and CT-derived perivascular fat metrics to interpret results and issue a formal report. The analysis is not performed concurrently with a cardiac computed tomography service billed in the same encounter, and results are used to inform outpatient management and shared decision-making regarding preventive therapies.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    71260CT angiography, thorax, with contrast including image post-processing when performedFrequently performed prior to or instead of targeted cardiac CT; may provide source images for perivascular fat analysis when thoracic vasculature is imaged.
    75571Computed tomography, heart, without contrast material, for calcium scoringProvides coronary artery calcium scoring often used alongside perivascular fat analysis for comprehensive risk stratification.
    75572Computed tomography, heart, with contrast, including coronary CT angiography, image post-processing when performedSource acquisition study for coronary anatomy and functional assessment; perivascular fat analysis may use these images but is not reported concurrently.
    75574CT perfusion of the heartMay be performed in separate workflows assessing myocardial perfusion in patients with suspected ischemia in conjunction with inflammation metrics.
    93000Electrocardiogram, routine ECG with interpretation and reportOften performed in pre-test assessment and follow-up to correlate symptoms or arrhythmia with imaging-based risk assessment.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    76Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
    77Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
    91Modifier 91 — “Repeat Clinical Diagnostic Laboratory Test” — is appended when the exact same CPT laboratory test is performed more than once for the same patient on the same day because serial,…- Use modifier 91 when the exact same CPT laboratory test is performed more than once on the same patient on the same date because serial or repeated testing is medically necessary to monitor…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207RC0000XCardiovascular Disease PhysicianAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threaten…
    207K00000XAllergy & Immunology PhysicianAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
    2084P0800XPsychiatry PhysicianA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
    207LP2900XPain Medicine (Anesthesiology) PhysicianAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
    363A00000XPhysician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
    202K00000XPhlebology PhysicianPhlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic ve…
    103TF0200XForensic PsychologistA psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial a…
    136A00000XRegistered Dietetic TechnicianA Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title is…

    Related ICD-10-CM Codes

    27 rows

    ICD-10-CM CodeDescription
    E11.65Type 2 diabetes mellitus with hyperglycemia
    E11.9Type 2 diabetes mellitus without complications
    E78.5Hyperlipidemia, unspecified
    I20.0Unstable angina
    I20.9Angina pectoris, unspecified
    I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
    I21.4Non-ST elevation (NSTEMI) myocardial infarction
    I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
    I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
    I25.2Old myocardial infarction

    Showing 1–10 of 27

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    6 rows

    PolicyPayerEffective Date
    Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA)univerahealthcare2026-10-15
    Cardiovascular Disease Risk AssessmentOscar Health2026-10-01
    Biomarkers for Myocardial Infarction and Chronic Heart FailureOscar Health2026-10-01
    Multiple Procedure Payment Reduction for Diagnostic Cardiovascular ProceduresBlue Cross Blue Shield - Maine2026-10-01
    Cardiovascular Disease Risk Assessmentblue cross blue shield - louisiana2026-09-15
    Cardiovascular Disease Risk AssessmentBlue Cross Blue Shield - New Mexico2026-09-04

    Related Codes

    CPT-0993T-PERIVASCULAR-FAT-CARDIAC-RISK-ASSESSMENT-CT-ADDON

    CPT 0993T: Perivascular Fat Cardiac Risk Assessment (CT Add-On)

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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