icd 9 code for placement of venus stents

Full Answer

What is the ICD 10 code for a venous stent?

An example of this would be a venous stent applied, via percutaneous approach, to the right common iliac vein would be 067C3DZ. Below is an extended list of the ICD-10-PCS codes associated with venous stenting. Unlike CPT®, catheterization is considered integral to placement of the venous stent and is not coded separately.

What is the ICD 9 code for stent insertion?

36.04 is a specific code and is valid to identify a procedure. 2012 ICD-9-CM Procedure Code 36.06 Insertion Of Non-Drug-Eluting Coronary Artery Stent(s) 36.06 is a specific code and is valid to identify a procedure. 2012 ICD-9-CM Procedure Code 36.07 Insertion Of Drug-Eluting Coronary Artery Stent(s)

Can venous angioplasty be used for the treatment of pulmonary vein stenosis?

Expert specialty consensus review indicates that venous angioplasty may be used for the treatment of pulmonary vein stenosis. Recently there have been published reports of venous angioplasty being successfully used to treat pulmonary vein stenosis following lung transplant (Loyalka, 2012).

What is the effect of venous sinus stenting on intracranial pressure?

Shazly TA, Jadhav AP, Aghaebrahim A, et al. Venous sinus stenting shortens the duration of medical therapy for increased intracranial pressure secondary to venous sinus stenosis. J Neurointerv Surg. 2018; 10 (3):310-314.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Venous Angioplasty with or without Stent Placement for the Treatment of Chronic Cerebrospinal Venous Insufficiency.

ICD-10-CM Codes that DO NOT Support Medical Necessity

The correct use of an ICD-10-CM code does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the related determination.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is the ICD-10 code for venous stenting?

ICD-10-CM diagnosis codes are used by both hospitals and physicians to document the indication for the procedure. Possible indications for venous stenting may include the codes listed below. Unspecified codes may also be available for the indications below, but their use should be avoided if possible, in favor of a more precise code for the specific anatomic sites.

What is a CPT code?

CPT® codes are used by physicians for all procedures as well as by Ambulatory Surgical Centers and hospitals for outpatient procedures. The index procedure of venous stent placement requires multiple CPT® codes.

Can ICD-10 PCS be used for venography?

Unlike CPT®, hospitals can assign an ICD-10-PCS code for venography separately with placement of a venous stent regardless of whether a prior diagnostic venography was performed. However, this is optional, and hospitals have the discretion to not code venography at all if they do not wish to collect this data.

Does ICD-10-PCS include IVUS?

ICD-10-PCS does not provide specific values for IVUS of pelvic veins. Codes for lower extremity veins can be assigned for IVUS of iliac veins as well as femoral veins.

What is superior vena cava stenting?

Superior vena cava stenting for the treatment of malignant and nonmalignant superior vena cava obstruction is well established (Schindler, 1999; Uberoi, 2006). Venous angioplasty is often necessary prior to stenting to offer safe palliation of potentially fatal complications associated with mediastinal malignant disease and compares very favorably with standard therapies such as chemotherapy and radiotherapy. Superior vena cava syndrome can also be caused by benign occlusion from chronic indwelling catheters resulting in arm or facial swelling, difficulty breathing, or an inability to obtain vital venous access, among others.

What is IIH stenting?

IIH is also referred to as pseudotumour cerebri or benign intracranial hypertension. It is characterized by an increase in intracranial pressure in the absence of an identifiable cause and may lead to severe headaches and vision loss. The incidence of IIH is higher in young obese women as compared to the general population. Treatment typically includes weight loss, medications, and in some cases, optic nerve fenestration or cerebrospinal fluid shunting procedures. A small case series (Donnet, 2008) consisted of 10 individuals with refractory idiopathic intracranial hypertension who were treated with venous sinus stenting performed with or without angioplasty. The authors indicated that the safety and efficacy of this technique should be further evaluated in a larger series with longer follow-up. Recently, there have been additional small studies published evaluating venous stenting in IIH (Matloob, 2017; Patsalides, 2020; Shazly, 2017). All authors concluded venous stenting offers a treatment option for carefully selected individuals with IIH; however, study limitations included small sample sizes and study designs. A retrospective analysis (Puffer, 2013) assessed outcomes of 143 cases of venous sinus angioplasty with stent placement performed for IIH with a mean follow-up of 22.3 months and reported “promising” results. However, due to sparse documentation of clinical benefit as well as determining ideal population for treatment, additional evaluation with long-term follow-up is needed.

Can venous angioplasty be used for pulmonary stenosis?

Expert specialty consensus review indicates that venous angioplasty may be used for the treatment of pulmonary vein stenosis. Recently there have been published reports of venous angioplasty being successfully used to treat pulmonary vein stenosis following lung transplant (Loyalka, 2012).

Is percutaneous transluminal angioplasty recommended?

Percutaneous transluminal angioplasty is not recommended as a single treatment for patients with chronic deep venous obstruction. (Class III, level C) After percutaneous transluminal angioplasty stent placement should be considered for patients with chronic deep venous obstruction.

Is venous angioplasty necessary for multiple sclerosis?

Not Medically Necessary: Venous angioplasty with or without stent placement or venous stenting alone is considered not medically necessary for the treatment of all other conditions not listed above including, but not limited to: Multiple sclerosis; or. Chronically occluded iliac veins; or. Idiopathic intracranial hypertension (pseudotumour ...

Stent and Catheter Placements

In your 2014 Interventional Radiology Coding Reference, page 196, example #2, there is a thrombolytic therapy procedure that ends with a venous stent placement. The venous stenting codes do not include the catheter placement, and according to the CPT manual you should report those in addition to the stents (37238-37229).

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