CPT® Code 92925

Add-On Code

Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)

The CPT® Code 92925 refers to a specific cardiac procedure known as percutaneous transluminal coronary atherectomy, which is often performed in conjunction with coronary angioplasty. This procedure is utilized to treat blockages in the coronary arteries, which can lead to serious cardiovascular issues. During the atherectomy, a physician employs a mechanical device to remove plaque buildup from the arterial walls, thereby restoring blood flow. The procedure typically begins with the preparation of the skin over the access artery, commonly one of the femoral arteries, followed by puncturing the artery with a needle and placing a sheath. A guidewire is then navigated through the aorta and into the occluded coronary artery. The atherectomy device, equipped with a specialized balloon catheter, is used to shave away the plaque. This process may involve multiple passes to ensure thorough removal of the obstruction. After the atherectomy, a balloon-tipped angioplasty catheter may be used to further compress any residual plaque, enhancing the artery's patency. Finally, contrast is injected, and a completion angiography is performed to confirm the success of the procedure. It is important to note that CPT® Code 92925 is specifically designated for each additional branch of a major coronary artery treated during the procedure, while CPT® Code 92924 is used for the treatment of a single major coronary artery or branch.