Cardiology Question for the Week of February 24, 2025

Question:

What is the correct code for percutaneous transluminal coronary lithotripsy, and how should it be reported in conjunction with the primary procedure?

Answer:

Code 92972 is the correct code for this service. 92972 Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) Coronary intravascular lithotripsy (Coronary IVL) is a procedure that utilizes a lithotripter device delivered to the site of a calcified coronary lesion where it is used to fracture the lesion via the generation of sonic pressure waves. It was developed from the already established procedure of lithotripsy used to treat kidney stones. The device currently available on the market for coronary IVL is the Shockwave Coronary IVL catheter by Shockwave Medical. There are several other coronary IVL catheters in development at this time, from Fastwave Medical and Cardiovascular Systems Incorporated, that have yet to come to market.

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