Cardiovascular clinicians can bill new or revised codes for PCI, lower extremity revascularization (LER), coronary plaque analysis and other services starting Jan. 1, 2026.

The ACC Advocacy team has assembled the below summary of CPT® coding updates relevant to cardiovascular clinicians. Complete code descriptors and additional guidance are available in the 2026 CPT Professional Codebook.

PCI Changes

Two new CPT codes have been introduced to better reflect the resources required for complex coronary procedures. Code 92930 describes stent placement involving two or more distinct coronary lesions or bifurcation lesions requiring intervention in both the main artery and side-scenarios not fully addressed by existing code 92928.

"92930-Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed, single major coronary artery and/or its branch(es); two or more distinct coronary lesions with two or more coronary stents deployed in two or more coronary segments, or a bifurcation lesion requiring angioplasty and/or stenting in both the main artery and the side branch"

Code 92945 covers revascularization of chronic total occlusions using both antegrade and retrograde approaches, incorporating any combination of stenting, atherectomy and angioplasty.

"92945-Percutaneous transluminal revascularization of chronic total occlusion, single coronary artery, coronary artery branch, or coronary artery bypass graft, and/or subtended major coronary artery branches of the bypass graft any combination of intracoronary stent, atherectomy and angioplasty; combined antegrade and retrograde approaches"

Codes 92921, 92925, 92929, 92934, 92938 and 92944 have been deleted from the 2026 book. These codes represented additional branch codes for PCI and each main code has been revised to say branch(es). Codes 92975 and 92977 for coronary thrombolysis were deleted from this section. New definitions and an illustration were added to clarify the concepts of coronary lesions and segments. Definitions for major coronary arteries, branches and bypass grafts were also updated to align with the new codes. Additionally, parenthetical notes throughout the section were revised to support and clarify these updates.

The add-on code 92973 has been revised, changing the wording for mechanical thrombectomy. The add-on code 93571 has also been revised, adding the words "when performed" after pharmacologically induced stress.

LER Codes Fully Transformed

Other major changes for 2026 include the deletion of codes 37220-37235, which are being replaced with 46 new codes.

These new codes, 37254-37299, are for LER services that are performed percutaneously and/or through open surgical exposure for occlusive disease. Interventions are for vascular territories and are now classified as straightforward for stenosis or complex for occlusion. New introductory guidelines are included with the new codes.

Ischemic Plaque Analysis Promoted to Category I

A new code, 75577, was added to the radiology section of the CPT codebook for coronary plaque assessment. This code takes the place of the now deleted Category III codes 0623T-0626T. Codes with augmentative software analysis require interpretation and a report by a physician or other qualified health care professional.

Other Additions

New cardiovascular monitoring services, in-person and remote, are in the medicine section of the CPT codebook. There are two new interrogation codes for the new implantable cardiovascular autonomic nervous system.

Previously, codes 93145 and 93146 would be reported for interrogation device evaluation procedures for a carotid sinus baroreflex activation therapy (BAT) modulation system. These procedures are now represented by new CPT codes 64654-64659.

There are also two new remote interrogation codes for cardiac contractility modulation (CCM) system: 0948T and 0949T.

Additionally, new Category III codes 0981T-0983T are for transcatheter implantation of wireless inferior vena cava (IVC) sensor for long-term hemodynamic monitoring and remote monitoring.

Cardiovascular care teams should review these revisions closely to ensure accurate reporting, streamlined documentation and maintain compliance. The introduction of new PCI codes, expanded LER classifications, and emerging technologies such as autonomic nervous system devices and wireless IVC sensors reflect cardiovascular care changes coming in 2026.

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Clinical Topics: Cardiovascular Care Team, Invasive Cardiovascular Angiography and Intervention

Keywords: Current Procedural Terminology, Lower Extremity, Percutaneous Coronary Intervention, ACC Advocacy, Clinical Coding, Hemodynamic Monitoring, Radiology, Interventional