CPT® Code 92986

Percutaneous balloon valvuloplasty is a minimally invasive procedure aimed at treating stenosis, which refers to the narrowing of heart valves. This procedure can be performed on various heart valves, including the aortic valve, mitral valve, and pulmonary valve. The primary goal of the procedure is to alleviate the obstruction caused by the narrowed valve, thereby improving blood flow and overall cardiac function. During the procedure, access is typically gained through the femoral artery, where the skin is prepped, and a needle is used to puncture the artery. A sheath is then placed to facilitate the introduction of instruments. Continuous imaging guidance is employed throughout the procedure to ensure accurate placement of the guidewire and catheter. The guidewire is advanced through the aorta and into the heart, allowing for precise positioning at the site of the stenosed valve. The procedure involves measuring intracardiac and intra-arterial pressures to assess the severity of the stenosis and guide the treatment. Following the inflation of a balloon within the valve annulus, the procedure may be repeated to achieve optimal dilation, ultimately enhancing the mobility of the valve and improving the filling of cardiac chambers and great vessels.