Health Information Management

Tip: Correctly code percutaneous transluminal coronary angioplasty

APCs Insider, August 27, 2010

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 Percutaneous transluminal coronary angioplasty is a nonsurgical procedure that involves inserting a small balloon catheter into an artery in the groin or arm and advancing it to the narrowing in the coronary artery. The physician then inflates the balloon to enlarge the artery.

In most cases, the physician also inserts a stent to keep the vessel open. The blockage stretches the artery and it can’t snap back after the physician removes the blockage. The physician should specify the artery in which the procedure is performed and any movement into a different artery.

Use CPT codes 92982 and 92984 to report balloon angioplasty performed in the hospital outpatient setting, but ensure the angioplasty is not bundled into another procedure, such as stent placement.

Because of the way the codes are configured with the 92984 add-on code, there can be a main stent, but if a balloon procedure occurs in a different vessel, the balloon procedure becomes an add-on to the stent procedure.

Report codes 92980 and the add-on code 92981 for each additional vessel for non-drug eluting stents in a hospital outpatient facility.

This tip is adapted from “Get to the heart of percutaneous coronary procedures” in the August issue of Briefings on APCs.



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