Health Information Management

New codes for intracoronary stent placement

APCs Insider, January 4, 2013

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Coders now have more choices when it comes to coding an intracoronary stent placement. The AMA replaced CPT® codes 92980 and 92981 with nine new codes that include more detail about the actual procedure performed.

For example, coders will report CPT code 92937 for a percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel.
CMS also revamped the HCPCS codes for stent placement. CMS deleted HCPCS codes G0290 and G0291 and replaced them with the nince new HCPCS C-codes to parallel the new CPT codes.
CMS differentiates between drug-eluting and non-drug-eluting stents for payment purposes.
Coders should report the new CPT codes 92928, 92933, 92929, 92934, 92937, 92938, 92941, 92943, and 92944 for nondrug-eluting intracoronary stent placement procedures. CMS assigned the new CPT codes to APC 0104 and new HCPCS codes C9600-C9608 to APC 0656.

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