CPT® Code 92934

Add-On Code

Percutaneous transluminal coronary atherectomy, with intracoronary stent, 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 92934 refers to a specific cardiac procedure known as percutaneous transluminal coronary atherectomy, which is performed in conjunction with the placement of an intracoronary stent and, when applicable, coronary angioplasty. This procedure is typically indicated for patients with significant blockages in the coronary arteries, which can lead to reduced blood flow to the heart muscle and potentially result in serious cardiovascular events. The process begins with the physician preparing the skin over the access artery, commonly the femoral artery, and puncturing it to insert a sheath. A guidewire is then navigated through the aorta into the affected coronary artery. The atherectomy is executed using a specialized catheter equipped with a cutting piston that effectively shaves away plaque from the arterial wall. This plaque is collected within the device and removed upon completion of the procedure. Following the atherectomy, a balloon angioplasty may be performed to further compress any residual plaque, and subsequently, a stent is deployed to maintain arterial patency. The stent acts as a scaffold, ensuring that the artery remains open and blood flow is restored. A completion angiography is conducted to confirm the success of the procedure and the patency of the treated artery. It is important to note that this code is specifically used for each additional branch of a major coronary artery treated during the procedure, with the primary procedure being coded separately.