CPT 92990: Pulmonary Valve Balloon Valvuloplasty
CPT code 92990 represents percutaneous balloon valvuloplasty of a stenotic pulmonary valve, an interventional cardiology procedure used to relieve right ventricular outflow obstruction. Nationally, this code is important for hospitals and interventional cardiology programs because it captures a specialized therapeutic procedure performed in catheterization laboratories that can avoid or delay surgical valve repair in selected patients.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise overview of coverage and payment benchmarks across these major payers, summarizes relevant clinical context for coding and service setting, and highlights common billing considerations.
Readers will learn what clinical activity CPT code 92990 documents, typical sites of service, and which major national payers are relevant for reimbursement and administrative review. The report also outlines available benchmarks, common modifier usage patterns where data exist, and policy developments that affect payment and prior authorization practices. Data not available in the input is identified where applicable.
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Billing Code Overview
CPT code 92990 describes a procedure in which a provider opens a stenotic pulmonary valve using a balloon catheter. This is an invasive cardiac intervention focused on relieving pulmonary valve stenosis.
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Service type: Percutaneous transcatheter pulmonary valvuloplasty/balloon valvotomy
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Typical site of service: Inpatient or outpatient hospital catheterization laboratory or interventional cardiology suite