Billing and Coding: Percutaneous Coronary Interventions

PCI CPT codes 92920-92944 cover percutaneous revascularization for occlusive coronary artery disease and include angioplasty, atherectomy, stenting, and associated intra-procedural imaging and device use. Diagnostic coronary angiography may only be billed separately in specific situations (no prior study and full diagnostic study performed; changed clinical status; inadequate visualization; or new evaluation outside target area), many adjunctive actions (angiography during PCI, distal protection deployment, PVCD, intracoronary drug injections, catheter manipulation, and certain thrombectomy/thrombolysis when bundled) are considered included in the PCI and are not separately reimbursable, and claims must include vessel modifiers (LD, LC, RC, LM, RI) with appropriate documentation; placement of >=4 stents in a single vessel may justify additional reimbursement as an unusual procedural service.

"CPT codes 92920-92944 describe percutaneous revascularization (PCI) for occlusive disease of coronary vessels, including major coronary arteries, coronary artery branches, and coronary artery bypas..."