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CPT 92986: Balloon Aortic Valvuloplasty, Percutaneous
CPT code 92986 represents percutaneous balloon aortic valvuloplasty, a minimally invasive procedure to dilate a stenotic aortic valve and improve blood flow. The code captures a therapeutic catheter-based intervention used in acute and palliative settings, and it remains relevant nationally for hospitals and interventional cardiology programs managing symptomatic aortic stenosis or as a bridge to definitive therapy.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find clinical context for the procedure, typical sites of service, and the operational implications for hospital and outpatient interventional suites. The publication outlines common modifiers and coding considerations, payer coverage patterns, and how CPT code 92986 fits within broader valvular intervention billing strategies.
This summary provides benchmarks for utilization and reimbursement patterns, highlights policy updates affecting coverage and prior authorization for transcatheter valve procedures, and explains how documentation and coding map to clinical workflows. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 92986 describes a balloon aortic valvuloplasty, a catheter-based procedure in which a provider opens a stenotic aortic valve using a balloon catheter to improve blood flow through the valve. The procedure involves advancing a catheter with an inflatable balloon across the narrowed aortic valve and inflating the balloon to dilate the valve orifice.
Service Type: Percutaneous transcatheter valvular intervention
Typical Site of Service: Cardiac catheterization laboratory or interventional cardiology suite, often performed in an inpatient or outpatient hospital setting depending on clinical status and facility resources.