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CPT 92930: Complex Percutaneous Coronary Intervention for Multilesion/Bifurcation
Headline: CPT code 92930 defines complex percutaneous coronary intervention for multiple lesions and bifurcations
Lead: CPT code 92930 designates a complex percutaneous coronary intervention (PCI) used when a clinician treats multiple separate coronary lesions with multiple stents in multiple coronary segments or manages a bifurcation lesion requiring treatment of both the main vessel and a side branch. This procedure represents a higher-complexity category of coronary revascularization with implications for hospital resource use and clinical outcomes nationwide.
Why it matters: As coronary disease remains a leading cause of morbidity, accurately classifying complex PCI cases is essential for clinical documentation, quality measurement, and reimbursement. CPT code 92930 captures procedures that typically require advanced operator skill, longer procedure times, and multiple devices.
Key payers covered: Analysis commonly includes Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
What readers will learn: The publication provides benchmarks and utilization context for CPT code 92930, outlines clinical scenarios and procedural scope associated with the code, and summarizes implications for billing and facility planning. It also highlights where data is available and notes areas where input did not include specific payer policy details or auxiliary coding elements.
Scope: National in focus, the summary addresses clinical context, typical sites of service, and the role of CPT code 92930 in classifying complex multilesion and bifurcation PCI.
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Billing Code Overview
CPT code 92930 describes a percutaneous coronary intervention (PCI) procedure in which the provider inserts a catheter through the skin and guides it into the coronary arteries to treat multiple separate coronary lesions with multiple stents in multiple coronary segments, or to treat a bifurcation lesion where both the main vessel and its side branch require angioplasty, stenting, or both.
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Service type: Percutaneous coronary intervention (complex multilesion or bifurcation stenting)
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Typical site of service: Hospital catheterization laboratory or outpatient ambulatory surgery center where invasive coronary interventions are performed.