Summary & Overview
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.
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.
Clinical & Coding Specifications
Clinical Context
A 68-year-old male with exertional angina and positive stress imaging is referred for coronary angiography. Diagnostic catheterization identifies multivessel coronary artery disease with discrete stenoses in the left anterior descending (LAD) and right coronary artery (RCA), and a bifurcation lesion in the LAD-diagonal branch requiring treatment of both main and side branches. The interventional cardiology team schedules a percutaneous coronary intervention (PCI) with placement of multiple drug-eluting stents to treat separate lesions in multiple coronary segments and to address the bifurcation.
The clinical workflow begins with pre-procedure assessment (history, medication review, consent, anticoagulation planning), vascular access (typically femoral or radial), coronary angiography to define anatomy, and lesion preparation (balloon angioplasty, atherectomy if needed). The operator then advances guide catheters and wires to target vessels, performs inflation of stents in each treated segment (including side-branch stenting for the bifurcation), and documents final angiographic results. Post-procedure care includes hemostasis, monitoring for access-site complications, telemetry observation, antiplatelet management, and discharge planning with outpatient follow-up.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when the procedure requires substantially greater effort or complexity than typical (document rationale). |