Category I CPT® Add-on Code Established for Coronary IVL
CPT® code +92972 provides an additional 2.97 Work Relative Value Units (RVU) and $140 payment for procedures involving Coronary IVL
- The Centers for Medicare & Medicaid Services (CMS) has established a Category I Current Procedural Terminology (CPT®) Add-on code for procedures involving Coronary IVL. This code is effective January 1, 2024. Prior to the establishment of +92972, there were no additional RVUs or professional fees for performing Coronary IVL.
The tables below display the value associated with CPT® code +92972 and provide examples of how utilizing the code in conjunction with a primary procedure impacts work RVUs and payment. As an add-on code, +92972 can be utilized regardless if adjunctive technologies (i.e. atherectomy, PTCA) are used in conjunction with Coronary IVL.
Applicable FARS/DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
The coding, coverage, and payment information contained herein is gathered from various resources and is subject to change without notice. Shockwave Medical cannot guarantee success in obtaining third-party insurance payments. Third-party payment for medical products and services is affected by numerous factors. It is always the provider’s responsibility to determine and submit appropriate codes, charges, and modifiers for services that are rendered. Providers should select the most appropriate HCPCS code(s) with the highest level of detail to describe the service(s) rendered to the patient. Providers should contact their third-party payers for specific information on their coding, coverage, and payment policies.
Prior to use, please reference the Instructions for Use for more information on indications, contraindications, warnings, precautions and adverse events.