CPT code 92934 (Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure));
Each code in this family includes the balloon angioplasty, when performed. Diagnostic coronary angiography codes 93454-93461 and injection procedure codes 93563-93564 should not be used with PCI services 92920-92944 to report: Contrast injections, angiography, roadmapping, and/or fluoroscopic guidance for the coronary intervention.
First, a discussion of applicable ICD-10-PCS guidelines is essential. According to the Centers for Medicare and Medicaid Services’ Official ICD-10-PCS Coding Guidelines: ICD-10-PCS Guideline B3.6b.
If multiple coronary artery sites are bypassed, a separate procedure is coded for each coronary artery site that uses a different device and/or qualifier. ICD-10-PCS Guideline B3.9. If an autograft is obtained from a different body part in order to complete the objective of the procedure, a separate procedure is coded. ICD-10-PCS Guideline B4.4.
Extirpation of Matter from Coronary Artery, Three Arteries, Orbital Atherectomy Technique, Percutaneous Approach. ICD-10-PCS 02C23Z7 is a specific/billable code that can be used to indicate a procedure.
CPT code 92944 (Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (List separately ...
37249 Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imag- ing and radiological supervision and interpreta- tion necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure).
00.6600.66 (angioplasty [PTCA]) 00.45 (insertion of one vascular stent) 00.40 (procedure on single vessel) 00.44 (procedure on vessel bifurcation)
The following CPT/HCPCS codes describe cardiac catheterization.CodeDescription93568Inject pulm art hrt cath93571Heart flow reserve measure93572Heart flow reserve measureG0269Occlusive device in vein art28 more rows
An atherectomy is a procedure that utilizes a catheter with a sharp blade on the end to remove plaque from a blood vessel. The catheter is inserted into the artery through a small puncture in the artery, and it is performed under local anesthesia.
CPT® Code 37229 in section: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral.
CPT® Code 37226 in section: Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral.
For instance, atherectomy, stent, and angioplasty are all included in the descriptor for 92933 Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch.
ICD-10-PCS will be the official system of assigning codes to procedures associated with hospital utilization in the United States. ICD-10-PCS codes will support data collection, payment and electronic health records. ICD-10-PCS is a medical classification coding system for procedural codes.
The ICD-10-PCS code assignment for this case example is: 4A023NZ, Catheterization, Heart.
Case 1ICD-9-CM Procedure CodesICD-10-PCS Codes36.15Single internal mammary-coronary artery bypass02100Z936.12(Aorto) Coronary bypass of two coronary arteries02100AW 021009W39.61Extracorporeal circulation auxiliary to open heart surgery5A1221Z03BB0ZZ1 more row•Feb 11, 2015
02C13Z7 replaces the following previously assigned ICD-10-PCS code (s):
The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.