CPT code 92945 captures percutaneous revascularization of a chronic total occlusion (CTO) in a single major coronary artery, branch, or bypass graft using both antegrade and retrograde crossing techniques. This technically complex interventional cardiology procedure is used to restore flow in completely occluded coronary vessels and may include angioplasty, stent placement, and atherectomy. Nationally, CTO procedures are important because they address a high-risk subset of coronary artery disease where symptoms, ischemia burden, and quality of life can be substantially impacted by successful revascularization.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise overview of clinical context, coding definitions, typical sites of service, and payer coverage considerations. Readers will find benchmarks and reimbursement context where available, summaries of relevant policy updates, and clinical considerations that explain when the service applies. The content is aimed at billing professionals, revenue cycle managers, and clinical leaders seeking clarity on how CPT code 92945 is defined, where it is typically performed, and which major payers are involved in coverage and payment for CTO percutaneous interventions.

Data not available in the input for specific modifiers, associated taxonomies, ICD-10 diagnoses, related codes, and detailed service-line mapping is noted and those fields are omitted from this summary.