Cardiovascular Disease CPT Codes in the Outpatient and OBL Setting
Cardiovascular disease specialists treat the heart and blood vessels, and a growing share of their procedural work now happens outside the hospital in office-based labs. The CPT codes in the 92920 to 93799 range cover much of this work. 93458 reports left heart catheterization with coronary and ventricular angiography, a diagnostic study used to map blockages, and 92928 reports placement of an intracoronary stent in a single lesion.
Whether a code is payable in a Medicare ASC depends on its CMS addendum status. Addendum AA is the ASC Covered Procedures List, where Medicare pays in an ASC, and Addendum EE is excluded. Many higher-acuity cardiac procedures are not on the list. DataLily's procedure library tracks CPT-specific prior-authorization and documentation requirements across this code family.
Cardiovascular Disease codes(50)
- 93458L hrt artery/ventricle angio
- 92920Prq trluml c angiop 1art&/br
- 92924Prq trluml c athrc 1 art&/br
- 92928Prq tcat plmt ntrac st 1 les
- 92930Prq tcat plmt ntrac st 2+les
- 92933Prq trlml c athrc st angiop1
- 92937Prq trluml revsc cab grf 1
- 92941Prq card revasc mi 1 vsl
- 92943Prq trluml revsc ch occ ant
- 92945Prq trl rvs ch occ ant&rtrgr
- 92960Cardioversion electric ext
- 92961Cardioversion electric int
- 92970Cardioassist internal
- 92971Cardioassist external
- 92972Perq trluml coronry lithotrp
- 92973Prq trluml c mchn asp thrmbc
- 92974Cath place cardio brachytx
- 92975Dissolve clot heart vessel
- 92978Endoluminl ivus oct c 1st
- 93312Echo transesophageal
- 93318Echo transesophageal intraop
- 93451Right heart cath
- 93452Left hrt cath w/ventrclgrphy
- 93453R&l hrt cath w/ventriclgrphy
- 93454Coronary artery angio s&i
- 93455Coronary art/grft angio s&i
- 93456R hrt coronary artery angio
- 93457R hrt art/grft angio
- 93459L hrt art/grft angio
- 93460R&l hrt art/ventricle angio
- 93461R&l hrt art/ventricle angio
- 93462L hrt cath trnsptl puncture
- 93463Drug admin & hemodynmic meas
- 93566Njx car cth slctv rv/ra ang
- 93567Njx car cth sprvlv aortgrphy
- 93568Njx car cth nslc p-art angrp
- 93571Iv dop vel&/press c flo 1st
- 93572Iv dop vel&/press c flo ea
- 93583Perq transcath septal reduxn
- 93619Comprehensive ep evaluation
- 93620Comp ep evl r at ven pac&rec
- 93623Prgrmd stimj&pacg iv rx nfs
- 93642Ep evl 1/2chmb trnsvns cvdfb
- 93650Icar cath abltj av node func
- 93653Compre ep eval tx svt
- 93654Compre ep eval tx vt
- 93655Icar cath abltj dscrt arrhyt
- 93656Compre ep eval abltj atr fib
- 93657Tx l/r atrial fib addl
- 93724Elec alys antitchycar pm sys
Are cardiology procedures done in an ASC or office-based lab?
Selected diagnostic and interventional cardiology procedures are performed outside the hospital, often in an office-based lab billed under place of service 11. Whether a specific procedure is payable in a Medicare ASC depends on its CMS Addendum AA status, since many higher-acuity cardiac procedures are not on the ASC Covered Procedures List. Confirm the setting and the addendum status before scheduling.
What CPT codes does cardiovascular disease use?
Cardiovascular procedural coding centers on the 92920 to 93799 range. This includes diagnostic studies such as 93458 (left heart catheterization with coronary and ventricular angiography) and coronary interventions such as 92920 (angioplasty), 92924 (atherectomy), and 92928 (intracoronary stent placement). The right code depends on whether the visit is diagnostic, interventional, or both.
Can you bill diagnostic angiography separately from a coronary stent?
Coronary intervention codes such as 92928 generally include the associated catheter placement and angiographic imaging needed to perform the intervention, so those components are usually not reported separately during the same procedure. Separate diagnostic angiography may be reportable only in defined circumstances. Check current CPT guidance and the payer's policy, and document the clinical reason for any separate study.