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Q:
What code, if any, is available for a status post-stent placement
to non-coronary arteries/vessels (e.g., stent to renal artery,
stent to iliac or femoral artery)? If no code is available,
what is the best choice from existing codes?
A:
Use codes 37205-37208, as appropriate, to report non-coronary
stent placements. Code 75960-26 should be used to report the
radiological supervision and interpretation. Here are the
descriptions for each of these codes:
- 37205—Transcatheter
placement of intravascular stent(s), (non-coronary vessel),
percutaneous; initial vessel.
- 37206—Transcatheter
placement of intravascular stent(s), (non-coronary vessel),
percutaneous; each additional vessel. List separately in
addition to the code for the primary procedure. Code 37206
should be used in conjunction with code 37205.
- 37207—Transcatheter
placement of intravascular stent(s), (non-coronary vessel),
open; initial vessel.
- 37208—Transcatheter
placement of intravascular stent(s), (non-coronary vessel),
open; each additional vessel. List separately in addition
to the code for the primary procedure. Code 37208 should
be used in conjunction with code 37207. Note: Codes 37206
and 37208 are considered add-on codes.
- 75960—Transcatheter
introduction of intravascular stent(s), (non-coronary vessel),
percutaneous and/or open, radiological supervision and interpretation,
each vessel.
Q:
I'm seeking the CPT® codes for "fluorscopy of the
aortic and mitral valve." The report does not state that
any thing else was used such as dye.
A:
Fluoroscopy of the heart is now rarely done, but may be used
for evaluation of calcification of cardiac valves. The appropriate
codes are 71023 or 71034 when fluoroscopy is done with a chest
x-ray or 76000 when only fluoroscopy is performed.
Q:
Our Cardiologists are requesting information on the new requirements
for TEE CPT® codes. During intraoperative studies the
transesophogeal probe is placed one time, but images are acquired
two or more times during different parts of the surgeries.
There is a single report, but there are different readings
for each time images are acquired. (Example: before prosthetic
valve replacement, the native valve is reported on and after
the procedure, the prosthetic valve competency is reported
on.) Is it acceptable to charge a code such as 93314 twice
during the same procedure?
A:
You should only report the appropriate TEE code once regardless
of the number of times images are acquired during the procedure;
all of the image acquisitions are included in the TEE code(s).
Errata
An answer to a Coding Q&A that appeared in September 2002
listed an incorrect CPT® code for an angioplasty procedure.
The question: "A physician did an angioplasty of the
diagonal branch and a stent of the LAD. For which branches/vessels
can he or she bill?" The correct response is: "In
a situation in which the patient undergoes stenting of the
LAD and angioplasty of the right coronary artery, both the
stenting and the angioplasty procedures, codes 92980 and 92984,
could be reported." The original answer listed codes
92980 and 98982.
All
CPT codes, descriptions, and two-digit numeric modifiers only
are copyright © 2002 by the American Medical Association.
All rights reserved.
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