2026 PCI Codes for Interventional Cardiology-Dr. Goldsweig slides

Dr. Goldsweig slides

Pdf Summary

This presentation by Dr. Andrew M. Goldsweig reviews the 2026 updates to percutaneous coronary intervention (PCI) coding, focusing on two primary CPT codes: 92928 and 92930. <br /><br />Code 92928 applies to non-complex PCI procedures involving stenting of a single lesion in a single coronary artery. It carries a work relative value unit (wRVU) of 10.00.<br /><br />Code 92930 is designated for complex PCI with stenting. Key criteria for applying 92930 include treatment of two separate lesions, two coronary segments, and placement of two non-overlapping stents within one major coronary artery or its branches. It also covers bifurcation interventions involving stenting both branches or stenting one branch with plain old balloon angioplasty (POBA) in the other. Notably, simply wiring a side branch does not qualify as complex PCI for this code. The 92930 code carries a higher wRVU of 12.00.<br /><br />The presentation includes clinical case examples illustrating these distinctions: <br />- Case 1: application of 92928 for a single lesion in one artery.<br />- Case 2: application of 92930 for two separate lesions within a single artery.<br />- Case 3: use of 92930 for bifurcation lesions involving stenting both branches or stent plus POBA.<br />- Case 4: combination coding of 92930 for a complex PCI in one artery and 92928 for a non-complex PCI in another artery, yielding a total combined wRVU.<br /><br />The summary reinforces the importance of accurately identifying lesion complexity and number of treated segments for correct coding and reimbursement. Dr. Goldsweig encourages interventional cardiologists to engage with the Society for Cardiovascular Angiography and Interventions (SCAI), which advocates for appropriate reimbursement policies.<br /><br />In essence, the 2026 PCI coding update clearly differentiates complex and non-complex PCIs allowing more precise coding based on lesion complexity and procedural details, supporting accurate documentation and payment.

Keywords

Percutaneous Coronary Intervention

PCI coding 2026

CPT code 92928

CPT code 92930

non-complex PCI

complex PCI

stenting lesions

bifurcation interventions

work relative value unit

Society for Cardiovascular Angiography and Interventions