Summary & Overview
CPT 92933: Percutaneous Coronary Atherectomy with Stent and Angioplasty
CPT code 92933 is a pivotal billing code for advanced coronary interventions, specifically percutaneous transluminal coronary atherectomy with stent placement and angioplasty in a single major coronary artery or branch. This procedure is essential in the management of complex coronary artery disease, offering patients improved outcomes through minimally invasive techniques. The code is most commonly utilized in inpatient hospital settings, reflecting the complexity and acuity of cases requiring such intervention.
Major national payers, including Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare, provide coverage for this procedure, underscoring its clinical importance and widespread adoption. The publication offers a comprehensive overview of the clinical context, typical sites of service, and payer coverage landscape. Readers will gain insights into relevant benchmarks, policy updates, and the procedural nuances associated with 92933, as well as its relationship to other coronary intervention codes. The summary also highlights the importance of accurate coding and documentation for optimal reimbursement and compliance.
This article serves as a resource for healthcare professionals, administrators, and policy analysts seeking to understand the national landscape for coronary atherectomy procedures, including payer coverage, clinical indications, and coding practices.
CPT Code Overview
CPT code 92933 describes a percutaneous transluminal coronary atherectomy procedure, which includes placement of an intracoronary stent and coronary angioplasty when performed. This code is used for interventions on a single major coronary artery or branch. The service falls under Coronary Therapeutic Services and Procedures and is typically performed in an inpatient hospital setting (Place of Service 21). This procedure is a critical intervention for patients with significant coronary artery disease, aiming to restore blood flow and reduce cardiac risk.
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult patient admitted to an inpatient hospital setting with symptoms suggestive of acute coronary syndrome, such as chest pain or unstable angina. Diagnostic evaluation reveals significant atherosclerotic disease in a major coronary artery or branch. The interventional cardiologist determines that percutaneous transluminal coronary atherectomy, with intracoronary stent placement and coronary angioplasty, is indicated to restore blood flow. The procedure is performed in the cardiac catheterization lab, often for patients with complex coronary lesions, including those with unstable angina or acute myocardial infarction.
Coding Specifications
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Modifiers:
26- Professional Component: Used when only the physician's professional services are billed, not the facility or equipment.TC- Technical Component: Used when only the technical portion (facility/equipment) is billed.59- Distinct Procedural Service: Used to indicate that the procedure is distinct or independent from other services performed on the same day.51- Multiple Procedures: Used when multiple procedures are performed during the same session.
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Provider Taxonomies: