Cardiology Coding Alert

Breaking News:

HCPCS 2013 Modifiers Offer New Coronary Options

But G0290 and G0291 won't have a place on claims any more.

HCPCS 2013 has been released, and there are some coronary changes to keep on your radar.

Be sure to pay special attention to two new modifiers:

  • Modifier LM, Left main coronary artery
  • Modifier RI, Ramus intermedius coronary artery.

Facilities should note that the HCPCS 2013 file is showing deletion of G0290-G0291 (Transcatheter placement of a drug eluting intracoronary stent[s] ...). In their place, review new codes in the C96xx range.

Resource: You can download the HCPCS files, effective Jan. 1, 2013, from www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html. Also be sure to watch payer policies and future issues of Cardiology Coding Alert as details emerge on how to implement the changes.

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